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General NPI Number Information
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NPI Number | 1982841805
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Entity Type | Organization
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Legal Business Name | BETTER LIFE COACHING SOLUTIONS, LLC
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Dates
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Enumeration Date | 01/14/2009
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 29 FENNELL ST
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City | SKANEATELES
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State | NY
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Zip | 13152-1117
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Country | US
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Telephone | 315-554-8117
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Fax | 315-554-8118
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Provider Business Mailing Address
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Address Line | 29 FENNELL ST
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City | SKANEATELES
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State | NY
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Zip | 13152-1197
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Country | US
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Telephone | 315-546-5717
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Fax | 315-554-8118
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | MARY E COLLINS
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Credential | LCSW-R
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Telephone | 315-546-5717
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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 | R070953
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License Number State | NY
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