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General NPI Number Information
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NPI Number | 1609370212
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Entity Type | Organization
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Legal Business Name | A BETTER YOU INTEGRATED HEALTH & COUNSELING, LLC
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 611 N WAYNE ST
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2834
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Country | US
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Telephone | 478-254-0481
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Fax | 478-254-7826
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Provider Business Mailing Address
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Address Line | PO BOX 27653
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City | MACON
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State | GA
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Zip | 31221-7653
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Country | US
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Telephone | 478-254-0481
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Fax | 478-254-9723
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Authorized Official
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Title or Position | CEO/ CLINICAL DIRECTOR
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Name | TAMEKA YASCHE MACK
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Credential | MSCP, MAC, NCC, LPC
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Telephone | 478-254-0481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 101YP2500X
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License Number State | GA
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