Healthcare Provider Details
I. General information
NPI: 1285226076
Provider Name (Legal Business Name): BETTER ME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/03/2021
Last Update Date: 02/27/2021
Certification Date: 02/27/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9511 ANGOLA CT STE 316
INDIANAPOLIS IN
46268-1119
US
IV. Provider business mailing address
9511 ANGOLA CT STE 316
INDIANAPOLIS IN
46268-1119
US
V. Phone/Fax
- Phone: 317-932-4849
- Fax:
- Phone: 317-932-4849
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DODI
MONCRIEF
Title or Position: OWNER
Credential: LCSW
Phone: 317-932-4849