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General NPI Number Information
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NPI Number | 1356792527
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Entity Type | Organization
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Legal Business Name | BETTER LIFE THERAPIES, LLC
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 1220 QUAISE MOOR E
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City | ANTIOCH
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State | TN
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Zip | 37013-4966
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Country | US
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Telephone | 615-294-8770
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Fax | 615-454-2343
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Provider Business Mailing Address
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Address Line | PO BOX 1773
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City | ANTIOCH
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State | TN
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Zip | 37011-1773
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Country | US
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Telephone | 615-294-9770
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Fax | 615-454-2343
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MS. DESIREE DONYAL WILLIAMS
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Credential | OT/L
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Telephone | 616-294-9770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2230
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License Number State | TN
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