Healthcare Provider Details

I. General information

NPI: 1558950493
Provider Name (Legal Business Name): A BETTER WORLD RESEARCH GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 01/14/2021
Certification Date: 01/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 S BOWMAN RD APT 1710
LITTLE ROCK AR
72211-4654
US

IV. Provider business mailing address

4100 RHODE ISLAND AVE STE 205
BRENTWOOD MD
20722-1440
US

V. Phone/Fax

Practice location:
  • Phone: 202-847-5085
  • Fax:
Mailing address:
  • Phone: 202-847-5085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JACQUELINE REESE-SMITH
Title or Position: CO-FOUNDER
Credential: PHD
Phone: 202-847-5085