Provider Demographics
NPI:1801354188
Name:BETTER SELF COUNSELING LLC
Entity type:Organization
Organization Name:BETTER SELF COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:OTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-878-3614
Mailing Address - Street 1:9643 GREEN MOON PATH
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2069
Mailing Address - Country:US
Mailing Address - Phone:443-878-3614
Mailing Address - Fax:
Practice Address - Street 1:8640 GUILFORD RD STE 220
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2671
Practice Address - Country:US
Practice Address - Phone:443-878-3614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty