Provider Demographics
NPI:1134826100
Name:THERAPY FOR BETTER LIFE PLCC
Entity type:Organization
Organization Name:THERAPY FOR BETTER LIFE PLCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:AZADEH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAHRYARINEJAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-751-3511
Mailing Address - Street 1:2606 FERRARA ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89044-1797
Mailing Address - Country:US
Mailing Address - Phone:702-751-3511
Mailing Address - Fax:
Practice Address - Street 1:2606 FERRARA ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89044-1797
Practice Address - Country:US
Practice Address - Phone:702-751-3511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1154718799OtherINDIVIDUAL NPI