Healthcare Provider Details

I. General information

NPI: 1780513911
Provider Name (Legal Business Name): BETTER OPPORTUNITIES FOR SELF SUCCESS MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1910 TOWNE CENTER BLVD SUITE 250
ANNAPOLIS MD
21401
US

IV. Provider business mailing address

1910 TOWNE CENTER BLVD SUITE 250
ANNAPOLIS MD
21401
US

V. Phone/Fax

Practice location:
  • Phone: 602-620-4132
  • Fax:
Mailing address:
  • Phone: 602-620-4132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MISS ZARIA RAINEY
Title or Position: OWNER
Credential:
Phone: 602-620-4132