Healthcare Provider Details

I. General information

NPI: 1063285575
Provider Name (Legal Business Name): BETTER OPTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 OLD HIGHWAY 8 STE 307
ST ANTHONY MN
55418-2500
US

IV. Provider business mailing address

1728 CLEAR AVE
SAINT PAUL MN
55106-2224
US

V. Phone/Fax

Practice location:
  • Phone: 612-481-9857
  • Fax:
Mailing address:
  • Phone: 612-481-9857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BONSA YUNUS MOHAMED
Title or Position: OWNER
Credential:
Phone: 612-481-9857