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General NPI Number Information
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NPI Number | 1578171369
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Entity Type | Organization
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Legal Business Name | B YOUR BEST MENTAL WELLNESS, LLC
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Dates
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Enumeration Date | 07/17/2020
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Last Update Date | 07/17/2020
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Provider Practice Location Address
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Address Line | 203 BROAD ST UNIT 3C
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City | MILFORD
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State | CT
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Zip | 06460-4749
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Country | US
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Telephone | 203-951-1431
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Fax |
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Provider Business Mailing Address
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Address Line | 45 LINCOLN AVE
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City | STAMFORD
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State | CT
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Zip | 06902-4102
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Country | US
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Telephone | 203-951-1431
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BERTHINE JEAN-BAPTISTE
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Credential | LCSW
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Telephone | 203-921-8821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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