Organization
BETTER SELF LLC
Active
Parent organization
BETTER SELF LLC
Other names
Better Self LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETTER SELF LLC
Authorized official
NGONEH BULLARD LCSW (OWNER)
(401) 263-6467
Entity
Organization
Contact information
Practice address
8321 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6936
(401) 263-6467
Mailing address
6268 OAKDALE RD SE, MABLETON, GA 30126-2836
(401) 263-6467
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CSW005935
GA
Other
Enumeration date
07/30/2018
Last updated
01/17/2023
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