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General NPI Number Information
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NPI Number | 1730840158
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Entity Type | Organization
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Legal Business Name | BEST LIFE MENTAL HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 1617 N WALKER ST
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City | PRINCETON
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State | WV
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Zip | 24740-2624
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Country | US
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Telephone | 681-282-5130
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Fax | 682-282-5130
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Provider Business Mailing Address
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Address Line | 1617 N WALKER ST
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City | PRINCETON
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State | WV
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Zip | 24740-2624
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Country | US
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Telephone | 681-282-5130
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Fax | 681-282-5130
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. LOWELL DAVID WEISS
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Credential |
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Telephone | 304-920-9116
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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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