Provider Demographics
NPI:1841954211
Name:BETTER TOGETHER COUPLES AND FAMILY COUNSELING
Entity type:Organization
Organization Name:BETTER TOGETHER COUPLES AND FAMILY COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FAITH
Authorized Official - Middle Name:AVA
Authorized Official - Last Name:CAMPBELL POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:860-933-8677
Mailing Address - Street 1:150 CALLE ESCADA UNIT 90A
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-3684
Mailing Address - Country:US
Mailing Address - Phone:860-933-8677
Mailing Address - Fax:
Practice Address - Street 1:150 CALLE ESCADA UNIT 90A
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-3684
Practice Address - Country:US
Practice Address - Phone:860-933-8677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008091553Medicaid