Provider Demographics
NPI:1528560299
Name:A BETTER LIFE THERAPY, LLC
Entity Type:Organization
Organization Name:A BETTER LIFE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:EARNSHAW
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:267-838-0066
Mailing Address - Street 1:100 S BROAD ST STE 1304
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19110-1004
Mailing Address - Country:US
Mailing Address - Phone:267-838-0066
Mailing Address - Fax:
Practice Address - Street 1:100 S BROAD ST STE 1304
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1004
Practice Address - Country:US
Practice Address - Phone:267-838-0066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAMF000872106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty