Provider Demographics
NPI:1609370212
Name:A BETTER YOU INTEGRATED HEALTH & COUNSELING, LLC
Entity Type:Organization
Organization Name:A BETTER YOU INTEGRATED HEALTH & COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMEKA
Authorized Official - Middle Name:YASCHE
Authorized Official - Last Name:MACK
Authorized Official - Suffix:
Authorized Official - Credentials:MSCP, MAC, NCC, LPC
Authorized Official - Phone:478-254-0481
Mailing Address - Street 1:PO BOX 27653
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31221-7653
Mailing Address - Country:US
Mailing Address - Phone:478-254-0481
Mailing Address - Fax:478-254-9723
Practice Address - Street 1:611 N WAYNE ST
Practice Address - Street 2:
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-2834
Practice Address - Country:US
Practice Address - Phone:478-254-0481
Practice Address - Fax:478-254-7826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-19
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101YP2500X261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003198369AMedicaid