Healthcare Provider Details
I. General information
NPI: 1851159768
Provider Name (Legal Business Name): BETTER WAYS HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2024
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 MARQUETTE AVE NW
ALBUQUERQUE NM
87102-5340
US
IV. Provider business mailing address
500 MARQUETTE AVE NW
ALBUQUERQUE NM
87102-5340
US
V. Phone/Fax
- Phone: 707-373-8392
- Fax:
- Phone: 707-373-8392
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CLAJON
BLANTON
Title or Position: CEO
Credential:
Phone: 707-373-8392