MEDICARE: BETTER SELVES COUNSELING SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0850X	Adult Mental Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023750916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER SELVES COUNSELING SERVICES INC

Provider Business Mailing Address
First Line	:	4091 CYPRESS REACH CT APT 306
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4906
Country	:	US
Telephone Number	:	954-271-1208
Fax Number	:

Provider Business Practice Location Address
First Line	:	4091 CYPRESS REACH CT APT 306
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33069-4906
Country	:	US
Telephone Number	:	954-271-1208
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH COUNSELOR
Name	:	LEO BALSEIRO
Credential	:	LMHC, NCC
Telephone Number	:	786-879-0635

Provider Enumeration Date	:	04/11/2022
Last Update Date	:	04/11/2022

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