Provider Demographics
NPI:1235560764
Name:BETTER LIFE LEARNING
Entity Type:Organization
Organization Name:BETTER LIFE LEARNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASTHMA PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:LENORA
Authorized Official - Last Name:MILTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, AE-C
Authorized Official - Phone:248-850-5293
Mailing Address - Street 1:33717 WOODWARD AVE #253
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009
Mailing Address - Country:US
Mailing Address - Phone:248-850-5293
Mailing Address - Fax:
Practice Address - Street 1:33717 WOODWARD AVE #253
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009
Practice Address - Country:US
Practice Address - Phone:248-850-5293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-10
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty