Provider Demographics
NPI:1255548756
Name:BETTER OPTIONS LLC
Entity type:Organization
Organization Name:BETTER OPTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:CONDRON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:208-478-9551
Mailing Address - Street 1:PO BOX 2921
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83206-2921
Mailing Address - Country:US
Mailing Address - Phone:208-478-9551
Mailing Address - Fax:208-478-1507
Practice Address - Street 1:1023 YELLOWSTONE AVE
Practice Address - Street 2:SUITE K
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83201-4478
Practice Address - Country:US
Practice Address - Phone:208-478-9551
Practice Address - Fax:208-478-1507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-3868251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health