Provider Demographics
NPI:1851801294
Name:BETTER HOMES BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:BETTER HOMES BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LACRESHIA
Authorized Official - Middle Name:CASAUNDRA
Authorized Official - Last Name:WITCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-828-5725
Mailing Address - Street 1:PO BOX 5044
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-0600
Mailing Address - Country:US
Mailing Address - Phone:602-828-5725
Mailing Address - Fax:602-269-0832
Practice Address - Street 1:2802 N 37TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009
Practice Address - Country:US
Practice Address - Phone:602-828-5725
Practice Address - Fax:602-269-0832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTC8341103TC1900X, 364SP0810X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0810XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & FamilyGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ21213Medicaid