Healthcare Provider Details

I. General information

NPI: 1063635183
Provider Name (Legal Business Name): A BETTER WAY COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 11/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9017 RED BRANCH RD SUITE 104
COLUMBIA MD
21045-2112
US

IV. Provider business mailing address

9017 RED BRANCH RD SUITE 204
COLUMBIA MD
21045-2112
US

V. Phone/Fax

Practice location:
  • Phone: 410-730-4500
  • Fax:
Mailing address:
  • Phone: 410-730-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCA129
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10989
License Number StateMD

VIII. Authorized Official

Name: MS. BONNIE GOLDSCHMIDT
Title or Position: OWNER-EXECUTIVE DIRECTOR
Credential: LCSW-C & LCADC
Phone: 410-730-4500