Healthcare Provider Details
I. General information
NPI: 1194219832
Provider Name (Legal Business Name): BETTER PERSPECTIVES BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/17/2018
Last Update Date: 06/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4710 S CEDAR CREST CT STE 100
INDEPENDENCE MO
64055-6993
US
IV. Provider business mailing address
1108 SW LIGGETT CT
BLUE SPRINGS MO
64015-6295
US
V. Phone/Fax
- Phone: 816-336-9140
- Fax: 816-623-0200
- Phone: 816-777-9132
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARY
C
YOUNGER
Title or Position: PRESIDENT
Credential: LPC
Phone: 816-777-9132