MEDICARE: ABETTERWAY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1871216754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABETTERWAY LLC

Provider Business Mailing Address
First Line	:	5360 BROADVIEW RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-7804
Country	:	US
Telephone Number	:	216-510-4039
Fax Number	:

Provider Business Practice Location Address
First Line	:	5360 BROADVIEW RD
Second Line	:
City	:	PARMA
State	:	OH
Zip	:	44134-7804
Country	:	US
Telephone Number	:	216-510-4039
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	LISA SULLIVAN
Credential	:
Telephone Number	:	440-453-0754

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	09/26/2022

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Directions to “ABETTERWAY LLC ” Practice Location

Language	Start Address	Practice Location

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