Provider Demographics
NPI:1629448428
Name:A BETTER THERAPY CONNECTION, LLC
Entity type:Organization
Organization Name:A BETTER THERAPY CONNECTION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:TROUPE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:941-400-7660
Mailing Address - Street 1:2109 BANNEKER WAY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-6304
Mailing Address - Country:US
Mailing Address - Phone:941-400-7660
Mailing Address - Fax:
Practice Address - Street 1:2109 BANNEKER WAY
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-6304
Practice Address - Country:US
Practice Address - Phone:941-400-7660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
FL251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL91Medicaid
FL174Medicaid
FL175Medicaid