Provider Demographics
NPI:1467160119
Name:BETTER PATTERNS THERAPY LLC
Entity Type:Organization
Organization Name:BETTER PATTERNS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KNICKERBOCKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:570-647-7820
Mailing Address - Street 1:155 MICAN RD
Mailing Address - Street 2:
Mailing Address - City:WAYMART
Mailing Address - State:PA
Mailing Address - Zip Code:18472-3034
Mailing Address - Country:US
Mailing Address - Phone:570-647-7820
Mailing Address - Fax:
Practice Address - Street 1:155 MICAN RD
Practice Address - Street 2:
Practice Address - City:WAYMART
Practice Address - State:PA
Practice Address - Zip Code:18472-3034
Practice Address - Country:US
Practice Address - Phone:570-647-7820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty