Provider Demographics
NPI:1265501449
Name:BETTER LIFE 4 YOU, L.L.C.
Entity Type:Organization
Organization Name:BETTER LIFE 4 YOU, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:IVORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROBERTS CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-807-8046
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20773-0328
Mailing Address - Country:US
Mailing Address - Phone:301-807-8046
Mailing Address - Fax:240-823-6000
Practice Address - Street 1:7700 OLD BRANCH AVE
Practice Address - Street 2:SUITE B105
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1628
Practice Address - Country:US
Practice Address - Phone:301-807-8046
Practice Address - Fax:240-823-6000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04258103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty