Healthcare Provider Details

I. General information

NPI: 1659015154
Provider Name (Legal Business Name): THE BETTER MIND CENTER, A LCSW CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 09/23/2024
Certification Date: 09/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16055 VENTURA BLVD STE 635
ENCINO CA
91436-2609
US

IV. Provider business mailing address

16055 VENTURA BLVD STE 635
ENCINO CA
91436-2609
US

V. Phone/Fax

Practice location:
  • Phone: 860-878-1353
  • Fax:
Mailing address:
  • Phone: 860-878-1353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: CHRISTIE AMREIN UIPI
Title or Position: PRESIDENT
Credential: LCSW
Phone: 860-878-1353