Healthcare Provider Details
I. General information
NPI: 1912588542
Provider Name (Legal Business Name): A BETTER CHOICE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/15/2021
Last Update Date: 04/15/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
215 HIGHLAND AVE
HADDON TOWNSHIP NJ
08108-2634
US
IV. Provider business mailing address
19 TARA DR
MOUNT LAUREL NJ
08054-9588
US
V. Phone/Fax
- Phone: 856-845-3155
- Fax:
- Phone: 609-929-5737
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KEVIN
ELSEY
Title or Position: COUNSELOR
Credential: LPC
Phone: 609-929-5737