Provider Demographics
NPI:1235272725
Name:A BETTER LIFE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:A BETTER LIFE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSIE
Authorized Official - Middle Name:VEGA
Authorized Official - Last Name:HINSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:203-313-2635
Mailing Address - Street 1:500 MONROE TPKE STE B
Mailing Address - Street 2:SUITE 171
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2387
Mailing Address - Country:US
Mailing Address - Phone:203-313-2635
Mailing Address - Fax:203-268-7760
Practice Address - Street 1:8 WAKEMAN RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5120
Practice Address - Country:US
Practice Address - Phone:203-313-2635
Practice Address - Fax:203-268-7760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002639103TB0200X, 103TC0700X, 103TC2200X, 103TP2701X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty