Healthcare Provider Details

I. General information

NPI: 1184400780
Provider Name (Legal Business Name): A BETTER YOU A LICENSED CLINICAL SOCIAL WORKER CORPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2023
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5225 CANYON CREST DR STE 71-526
RIVERSIDE CA
92507-6301
US

IV. Provider business mailing address

5225 CANYON CREST DR STE 71-526
RIVERSIDE CA
92507-6301
US

V. Phone/Fax

Practice location:
  • Phone: 951-598-5170
  • Fax:
Mailing address:
  • Phone: 951-897-0874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL CURRY
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: MSW, LCSW
Phone: 951-897-0874