Provider Demographics
NPI:1689332686
Name:A BETTER WAY SUPPORT SERVICES, LLC
Entity Type:Organization
Organization Name:A BETTER WAY SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, QMHP-A/C
Authorized Official - Phone:757-572-1748
Mailing Address - Street 1:1018 RIVER BIRCH CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2728
Mailing Address - Country:US
Mailing Address - Phone:757-572-1748
Mailing Address - Fax:
Practice Address - Street 1:1018 RIVER BIRCH CT
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2728
Practice Address - Country:US
Practice Address - Phone:757-572-1748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health