Provider Demographics
NPI:1922336940
Name:ABCS OF BUILDING BETTER LIVES LLC
Entity Type:Organization
Organization Name:ABCS OF BUILDING BETTER LIVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:814-825-2930
Mailing Address - Street 1:725 LANGDON RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-6705
Mailing Address - Country:US
Mailing Address - Phone:814-825-2930
Mailing Address - Fax:814-725-0707
Practice Address - Street 1:4320 DEXTER AVE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16504-2444
Practice Address - Country:US
Practice Address - Phone:814-825-2930
Practice Address - Fax:814-725-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000522101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty