Provider Demographics
NPI:1972872182
Name:A BETTER LIFE, LLC
Entity Type:Organization
Organization Name:A BETTER LIFE, LLC
Other - Org Name:KATHLEEN KELLY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:LORRAINE
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-349-7309
Mailing Address - Street 1:1070 W HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012-6016
Mailing Address - Country:US
Mailing Address - Phone:702-349-7309
Mailing Address - Fax:702-558-0881
Practice Address - Street 1:1070 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012-6016
Practice Address - Country:US
Practice Address - Phone:702-349-7309
Practice Address - Fax:702-558-0881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2017-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV201130254101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty