Healthcare Provider Details

I. General information

NPI: 1376814558
Provider Name (Legal Business Name): BETTER COMMUNITIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2012
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 MCKNIGHT DR SUITE 200
KNIGHTDALE NC
27545-7050
US

IV. Provider business mailing address

502 MCKNIGHT DR SUITE 200
KNIGHTDALE NC
27545-7050
US

V. Phone/Fax

Practice location:
  • Phone: 919-844-7755
  • Fax: 800-480-5850
Mailing address:
  • Phone: 919-844-7755
  • Fax: 800-480-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTAL E CARMICHAEL
Title or Position: CEO/ CLINICAL DIRECTOR
Credential:
Phone: 919-844-7755