1881198794 NPI number — A BETTER WAY COUNSELING

Table of content: MS. SARAH ELIZABETH HAWRYLAK MSW, LICSW (NPI 1912992611)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881198794 NPI number — A BETTER WAY COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A BETTER WAY COUNSELING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881198794
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4841 BALLYGAR DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TALLAHASSEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32309-2437
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-688-0059
Provider Business Mailing Address Fax Number:
850-575-9445

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2365 CENTERVILLE RD STE R11
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32308-4317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-688-0059
Provider Business Practice Location Address Fax Number:
850-575-9445
Provider Enumeration Date:
03/23/2018

Additional Information

Authorized Official

Authorized Official Last Name:
WATSON
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
850-425-5025

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW11226 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1265869507 . This is a "CIGNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1265869507 . This is a "MAGELLAN COMPLETE CARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1265869507 . This is a "WELLCARE/STAYWELL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1265869507 . This is a "AETNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 601024243 . This is a "MAGELLAN BEHAVIORAL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1265869507 . This is a "OPTUM HEALTH STRATEGIES" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1881198794 . This is a "SUNSHINE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: Z06U5 . This is a "BCBS-FL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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