Healthcare Provider Details

I. General information

NPI: 1811396567
Provider Name (Legal Business Name): BETTER CHOICE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E FIRMIN ST STE 206
KOKOMO IN
46902-2375
US

IV. Provider business mailing address

700 E FIRMIN ST STE 206
KOKOMO IN
46902-2375
US

V. Phone/Fax

Practice location:
  • Phone: 765-461-3033
  • Fax:
Mailing address:
  • Phone: 765-461-3033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number87000247A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34005092
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34005092A
License Number StateIN

VIII. Authorized Official

Name: SUSAN W MOODY
Title or Position: OWNER
Credential: LCSW, LCAC, RPT
Phone: 765-461-3033