Healthcare Provider Details

I. General information

NPI: 1235948910
Provider Name (Legal Business Name): BETTER DAYS THERAPY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3175 SIENNA DR S STE 107
FARGO ND
58104-8910
US

IV. Provider business mailing address

1905 BURLINGTON DR
WEST FARGO ND
58078-4324
US

V. Phone/Fax

Practice location:
  • Phone: 701-248-6349
  • Fax:
Mailing address:
  • Phone: 701-793-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SHAWNA M CROAKER
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LCSW
Phone: 701-793-2400