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General NPI Number Information
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NPI Number | 1639621782
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Entity Type | Organization
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Legal Business Name | A BETTER YOU COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 21630 W MCNICHOLS RD
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City | DETROIT
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State | MI
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Zip | 48219-3209
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Country | US
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Telephone | 313-445-7438
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Fax |
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Provider Business Mailing Address
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Address Line | 21401 LYNDON ST
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City | DETROIT
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State | MI
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Zip | 48223-1905
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Country | US
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Telephone | 313-445-7438
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIL HAKIM MWENDWA
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Credential | MSW
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Telephone | 313-445-7438
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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 | 6801093284
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License Number State | MI
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