Provider Demographics
NPI:1073154175
Name:A BETTER LIFE COUNSELING PLLC
Entity Type:Organization
Organization Name:A BETTER LIFE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:GUILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-391-1309
Mailing Address - Street 1:4948 W KOOTENAI ST STE 102
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705-2081
Mailing Address - Country:US
Mailing Address - Phone:208-391-1309
Mailing Address - Fax:
Practice Address - Street 1:4948 W KOOTENAI ST STE 102
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705-2081
Practice Address - Country:US
Practice Address - Phone:208-391-1309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty