Provider Demographics
NPI:1912482787
Name:BELONGING MEDICAL GROUP PLLC
Entity Type:Organization
Organization Name:BELONGING MEDICAL GROUP PLLC
Other - Org Name:BETTER LIFE PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-679-0831
Mailing Address - Street 1:PO BOX 5518
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-5518
Mailing Address - Country:US
Mailing Address - Phone:866-679-0831
Mailing Address - Fax:802-332-3117
Practice Address - Street 1:44 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2099
Practice Address - Country:US
Practice Address - Phone:866-679-0831
Practice Address - Fax:802-332-3117
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BELONGING MEDICAL GROUP PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-27
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use DisorderGroup - Multi-Specialty