1881198794 NPI number — A BETTER WAY COUNSELING

Table of content: (NPI 1881198794)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881198794 NPI number — A BETTER WAY COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
A BETTER WAY COUNSELING
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:
6
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:
1881198794
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4841 BALLYGAR DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TALLAHASSEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32309-2437
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
850-688-0059
Provider Business Mailing Address Fax Number:
850-575-9445

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2365 CENTERVILLE RD STE R11
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TALLAHASSEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32308-4317
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
850-688-0059
Provider Business Practice Location Address Fax Number:
850-575-9445
Provider Enumeration Date:
03/23/2018

Additional Information

Authorized Official

Authorized Official Last Name:
WATSON
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
850-425-5025

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  SW11226 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1265869507 . This is a "CIGNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1265869507 . This is a "MAGELLAN COMPLETE CARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1265869507 . This is a "WELLCARE/STAYWELL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1265869507 . This is a "AETNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 601024243 . This is a "MAGELLAN BEHAVIORAL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1265869507 . This is a "OPTUM HEALTH STRATEGIES" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 1881198794 . This is a "SUNSHINE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: Z06U5 . This is a "BCBS-FL" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com