Provider Demographics
NPI:1073160289
Name:A BETTER WAY COUNSELING, LLC
Entity Type:Organization
Organization Name:A BETTER WAY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMHC,CAP,SAP
Authorized Official - Phone:321-750-1234
Mailing Address - Street 1:15 ANCHOR DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-3537
Mailing Address - Country:US
Mailing Address - Phone:321-750-1234
Mailing Address - Fax:
Practice Address - Street 1:550 E STRAWBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-4905
Practice Address - Country:US
Practice Address - Phone:321-750-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)