Provider Demographics
NPI:1164153953
Name:BETTER TOGETHER MARRIAGE AND FAMILY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:BETTER TOGETHER MARRIAGE AND FAMILY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LEAD THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PROCIUK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:863-220-1949
Mailing Address - Street 1:1649 WILLIAMSBURG SQ # 209
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-4279
Mailing Address - Country:US
Mailing Address - Phone:863-220-1949
Mailing Address - Fax:
Practice Address - Street 1:1649 WILLIAMSBURG SQ # 209
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-4279
Practice Address - Country:US
Practice Address - Phone:863-417-9273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-22
Last Update Date:2022-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15585244OtherCAQH