Healthcare Provider Details

I. General information

NPI: 1235272725
Provider Name (Legal Business Name): A BETTER LIFE COUNSELING & PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 07/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 WAKEMAN RD
FAIRFIELD CT
06824-5120
US

IV. Provider business mailing address

500 MONROE TPKE STE B SUITE 171
MONROE CT
06468-2387
US

V. Phone/Fax

Practice location:
  • Phone: 203-313-2635
  • Fax: 203-268-7760
Mailing address:
  • Phone: 203-313-2635
  • Fax: 203-268-7760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number002639
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number002639
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number002639
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number002639
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number002639
License Number StateCT

VIII. Authorized Official

Name: DR. JOSIE VEGA HINSON
Title or Position: OWNER & CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 203-313-2635