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General NPI Number Information
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NPI Number | 1568280295
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Entity Type | Organization
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Legal Business Name | BETTER BALANCE BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 2228 W MICHELLE DR
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City | PHOENIX
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State | AZ
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Zip | 85023-1224
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Country | US
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Telephone | 602-698-7000
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Fax | 602-898-1117
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Provider Business Mailing Address
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Address Line | 2228 W MICHELLE DR
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City | PHOENIX
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State | AZ
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Zip | 85023-1224
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Country | US
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Telephone | 972-523-6090
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Fax | 602-898-1117
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | AMBER KEENAN
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Credential | PMHNP-BC
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Telephone | 972-523-6090
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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