MEDICARE: BETTER DAYS COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YP2500X	Professional Counselor
2	251S00000X	Community/Behavioral Health Agency
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1902407547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER DAYS COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	4316 BILGLADE RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-5317
Country	:	US
Telephone Number	:	217-417-1059
Fax Number	:

Provider Business Practice Location Address
First Line	:	4316 BILGLADE RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-5317
Country	:	US
Telephone Number	:	217-417-1059
Fax Number	:

Authorized Official
Title or Position	:	INITIAL MEMBER
Name	:	ANDREW DUTTON
Credential	:	LPC, LCDC
Telephone Number	:	217-417-1059

Provider Enumeration Date	:	11/02/2020
Last Update Date	:	11/02/2020

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