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General NPI Number Information
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NPI Number | 1861380222
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Entity Type | Organization
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Legal Business Name | HEALTHY MIND BETTER LIFE CENTER LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 3062 MICHIGAN AVE
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City | KISSIMMEE
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State | FL
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Zip | 34744-1544
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Country | US
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Telephone | 407-705-7874
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Fax | 407-818-1160
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Provider Business Mailing Address
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Address Line | 3062 MICHIGAN AVE
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City | KISSIMMEE
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State | FL
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Zip | 34744-1544
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Country | US
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Telephone | 407-705-7874
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Fax | 407-818-1160
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Authorized Official
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Title or Position | PRESIDENT
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Name | ENRIQUE RIVERA
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Credential |
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Telephone | 407-705-7874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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