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General NPI Number Information
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NPI Number | 1225837396
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Entity Type | Organization
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Legal Business Name | FLOURISH TO BETTER HEALTH, LLC
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 900 STRAITS TURNPIKE UPPER LEVEL - SUITES 205-A & E
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City | MIDDLEBURY
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State | CT
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Zip | 06762-2800
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Country | US
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Telephone | 860-490-8233
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Fax | 860-229-8886
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Provider Business Mailing Address
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Address Line | 233 MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-4204
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Country | US
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Telephone | 860-826-1358
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Fax | 860-229-8886
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | GRACE CAVALLO
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Credential | LCSW
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Telephone | 860-826-1358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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