Provider Demographics
NPI:1720771025
Name:BE A BETTER YOU COUNSELING AND REFERRAL SERVICES
Entity Type:Organization
Organization Name:BE A BETTER YOU COUNSELING AND REFERRAL SERVICES
Other - Org Name:BE A BETTER YOU COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUDP, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLERTSEN
Authorized Official - Suffix:
Authorized Official - Credentials:BA, SUDP
Authorized Official - Phone:360-490-1624
Mailing Address - Street 1:41 E HAVEN CT N
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-8500
Mailing Address - Country:US
Mailing Address - Phone:360-490-1624
Mailing Address - Fax:
Practice Address - Street 1:140 NORTHEAST, WA-300
Practice Address - Street 2:SUITE 5
Practice Address - City:BELFAIR
Practice Address - State:WA
Practice Address - Zip Code:98528
Practice Address - Country:US
Practice Address - Phone:360-490-1624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children