=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598982654
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A BETTER WAY, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/19/2007
-----------------------------------------------------
Last Update Date | 01/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 426 17TH ST FL 2
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94612-2820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-207-8825
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 426 17TH ST STE 200
-----------------------------------------------------
City | OAKLAND
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94612-2820
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 510-433-8600
-----------------------------------------------------
Fax | 510-485-7173
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | MR. DAVID DONALD CHANNER
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 510-207-8825
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number | 22065
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------