Provider Demographics
NPI:1982396735
Name:BEST LIFE COUNSELING LLC
Entity Type:Organization
Organization Name:BEST LIFE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ILSE
Authorized Official - Middle Name:WENTWORTH
Authorized Official - Last Name:LARRIVEE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-631-7626
Mailing Address - Street 1:12 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04849-3253
Mailing Address - Country:US
Mailing Address - Phone:207-631-7626
Mailing Address - Fax:
Practice Address - Street 1:12 EAGLE DR
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:ME
Practice Address - Zip Code:04849-3253
Practice Address - Country:US
Practice Address - Phone:207-631-7626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty