Provider Demographics
NPI:1982841805
Name:BETTER LIFE COACHING SOLUTIONS, LLC
Entity Type:Organization
Organization Name:BETTER LIFE COACHING SOLUTIONS, LLC
Other - Org Name:BETTER LIFE SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:315-546-5717
Mailing Address - Street 1:29 FENNELL ST
Mailing Address - Street 2:
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-1197
Mailing Address - Country:US
Mailing Address - Phone:315-546-5717
Mailing Address - Fax:315-554-8118
Practice Address - Street 1:29 FENNELL ST
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-1117
Practice Address - Country:US
Practice Address - Phone:315-554-8117
Practice Address - Fax:315-554-8118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-14
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0709531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03015249Medicaid
NYJ100038399OtherMEDICARE PTAN
NY03015249Medicaid