Provider Demographics
NPI:1689957748
Name:A BETTER LIFE, LLC
Entity Type:Organization
Organization Name:A BETTER LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:317-627-7659
Mailing Address - Street 1:7399 N SHADELAND AVE
Mailing Address - Street 2:# 108
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-2052
Mailing Address - Country:US
Mailing Address - Phone:317-627-7659
Mailing Address - Fax:
Practice Address - Street 1:7399 N SHADELAND AVE
Practice Address - Street 2:# 108
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46250-2052
Practice Address - Country:US
Practice Address - Phone:317-627-7659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-26
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty