Healthcare Provider Details

I. General information

NPI: 1124690011
Provider Name (Legal Business Name): A BETTER LIVING HEALTH SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2021
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 E UNIVERSITY DR STE 6
MESA AZ
85203-8046
US

IV. Provider business mailing address

1050 E UNIVERSITY DR STE 6
MESA AZ
85203-8046
US

V. Phone/Fax

Practice location:
  • Phone: 602-804-1523
  • Fax: 855-888-3130
Mailing address:
  • Phone: 602-804-1523
  • Fax: 855-888-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. OLIVIA A BROWN
Title or Position: COO
Credential:
Phone: 702-561-9253