Provider Demographics
NPI:1558050641
Name:ABLE - A BETTER LIFE FOR EVERYONE
Entity Type:Organization
Organization Name:ABLE - A BETTER LIFE FOR EVERYONE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:CIRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:530-613-1383
Mailing Address - Street 1:11573 SHERWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95602-8422
Mailing Address - Country:US
Mailing Address - Phone:530-613-1383
Mailing Address - Fax:201-340-5595
Practice Address - Street 1:3885 RICHARDSON DRIVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602
Practice Address - Country:US
Practice Address - Phone:530-613-1383
Practice Address - Fax:201-340-5595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty