MEDICARE: A BETTER ME COUNSELING & THERAPEUTIC SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1306440482
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A BETTER ME COUNSELING & THERAPEUTIC SERVICES LLC

Provider Business Mailing Address
First Line	:	12348 HEALEY SUMMIT LN
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33579-7708
Country	:	US
Telephone Number	:	813-842-0469
Fax Number	:

Provider Business Practice Location Address
First Line	:	5118 N 56TH ST STE 111
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-5440
Country	:	US
Telephone Number	:	813-421-4876
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. RAENEQUA E BAKER
Credential	:	LCSW
Telephone Number	:	813-842-0469

Provider Enumeration Date	:	11/30/2020
Last Update Date	:	11/30/2020

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