Healthcare Provider Details
I. General information
NPI: 1023893526
Provider Name (Legal Business Name): BETTER CHOICE PSYCHOTHERAPY AND COUNSELING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/31/2023
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
577 INKSTER RD
GARDEN CITY MI
48135-4117
US
IV. Provider business mailing address
577 INKSTER RD
GARDEN CITY MI
48135-4117
US
V. Phone/Fax
- Phone: 734-338-2148
- Fax: 734-338-2164
- Phone: 734-338-2148
- Fax: 734-338-2164
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
MANAL
M
HAZIME
Title or Position: OWNER OF BUSINESS
Credential: MA, LPC
Phone: 313-615-6825