Healthcare Provider Details

I. General information

NPI: 1285125906
Provider Name (Legal Business Name): A BETTER WAY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 E 19TH ST
OAKLAND CA
94606-4126
US

IV. Provider business mailing address

3200 ADELINE ST
BERKELEY CA
94703-2407
US

V. Phone/Fax

Practice location:
  • Phone: 510-207-8825
  • Fax:
Mailing address:
  • Phone: 510-601-0203
  • Fax: 510-601-4002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID DONALD CHANNER
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCSW
Phone: 510-207-8825