Healthcare Provider Details

I. General information

NPI: 1912628652
Provider Name (Legal Business Name): BETTERLIFE & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2022
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 APEX DR STE 300A
MARLBOROUGH MA
01752-1977
US

IV. Provider business mailing address

11 APEX DR STE 300A
MARLBOROUGH MA
01752-1977
US

V. Phone/Fax

Practice location:
  • Phone: 774-527-0608
  • Fax: 508-318-8912
Mailing address:
  • Phone: 774-527-0608
  • Fax: 508-318-8912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY LEONARD
Title or Position: CEO
Credential: LMHC, MT-BC
Phone: 774-527-0608