Provider Demographics
NPI:1629484761
Name:BETTER SELF BETTER LIFE, P.L.L.C.
Entity Type:Organization
Organization Name:BETTER SELF BETTER LIFE, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, CPS, LICSW
Authorized Official - Phone:603-986-4638
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-0066
Mailing Address - Country:US
Mailing Address - Phone:603-986-4638
Mailing Address - Fax:
Practice Address - Street 1:13 JENKINS CT
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-2340
Practice Address - Country:US
Practice Address - Phone:603-986-4638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1723251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health