Provider Demographics
NPI:1205462504
Name:BETTER FUTURES COUNSELING GROUP
Entity type:Organization
Organization Name:BETTER FUTURES COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:A
Authorized Official - Last Name:WIDDEKIND
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-369-0570
Mailing Address - Street 1:PO BOX 221635
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33022-1635
Mailing Address - Country:US
Mailing Address - Phone:406-207-7008
Mailing Address - Fax:
Practice Address - Street 1:2421 HOLLYWOOD BLVD STE 1A
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6605
Practice Address - Country:US
Practice Address - Phone:954-369-0570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty