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General NPI Number Information
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NPI Number | 1396440988
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Entity Type | Organization
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Legal Business Name | BETTER WELLNESS THERAPY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 12359 222ND ST
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City | HAWAIIAN GARDENS
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State | CA
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Zip | 90716-1707
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Country | US
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Telephone | 714-759-4003
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Fax |
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Provider Business Mailing Address
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Address Line | 12337 SEAL BEACH BLVD # 1042
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City | SEAL BEACH
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State | CA
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Zip | 90740-2708
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAYTE LARIOS
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Credential |
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Telephone | 562-760-6934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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