Provider Demographics
NPI:1275188971
Name:BETTER MENTAL WELLNESS, LLC
Entity Type:Organization
Organization Name:BETTER MENTAL WELLNESS, LLC
Other - Org Name:BETTER MENTAL WELLNESS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:R
Authorized Official - Last Name:GAINER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:470-945-1457
Mailing Address - Street 1:175 LANGLEY DR
Mailing Address - Street 2:BUILDING E STE 3
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-6929
Mailing Address - Country:US
Mailing Address - Phone:470-945-1457
Mailing Address - Fax:
Practice Address - Street 1:175 LANGLEY DR
Practice Address - Street 2:BUILDING E STE 3
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6929
Practice Address - Country:US
Practice Address - Phone:470-945-1457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003214199AMedicaid