1578259628 NPI number — BETTER TOGETHER BEHAVIORAL HEALTH INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578259628 NPI number — BETTER TOGETHER BEHAVIORAL HEALTH INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BETTER TOGETHER BEHAVIORAL HEALTH INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578259628
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/13/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14412 TIERRA MAGNOLIA AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79938-2387
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-513-9405
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12330 PELLICANO DR. STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-873-4085
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/12/2023

Additional Information

Authorized Official

Authorized Official Last Name:
VEGA
Authorized Official First Name:
AMBER
Authorized Official Middle Name:
NICOLE
Authorized Official Title or Position:
CEO / EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
915-873-4085

Provider Taxonomy Codes

  • Taxonomy code: 103K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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