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General NPI Number Information
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NPI Number | 1972872182
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Entity Type | Organization
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Legal Business Name | A BETTER LIFE, LLC
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 09/27/2017
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Provider Practice Location Address
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Address Line | 1070 W HORIZON RIDGE PKWY SUITE 200
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City | HENDERSON
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State | NV
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Zip | 89012-6016
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Country | US
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Telephone | 702-349-7309
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Fax | 702-558-0881
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Provider Business Mailing Address
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Address Line | 1070 W HORIZON RIDGE PKWY SUITE 200
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City | HENDERSON
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State | NV
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Zip | 89012-6016
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Country | US
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Telephone | 702-349-7309
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Fax | 702-558-0881
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Authorized Official
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Title or Position | OWNER
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Name | MS. KATHLEEN LORRAINE KELLY
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Credential | LCSW
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Telephone | 702-349-7309
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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 | 201130254
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License Number State | NV
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