Provider Demographics
NPI:1134907314
Name:BETTER WELLNESS FAMILY PRACTICE LLC
Entity type:Organization
Organization Name:BETTER WELLNESS FAMILY PRACTICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:302-668-8089
Mailing Address - Street 1:PO BOX 772
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-0772
Mailing Address - Country:US
Mailing Address - Phone:302-668-8089
Mailing Address - Fax:
Practice Address - Street 1:801 N DUPONT HWY
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2544
Practice Address - Country:US
Practice Address - Phone:302-668-8089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETTER WELLNESS FAMILY PRACTICE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)