Healthcare Provider Details

I. General information

NPI: 1346169810
Provider Name (Legal Business Name): BETTER LIFE INTEGRATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5730 W ATLANTIS AVE
PHOENIX AZ
85043-0150
US

IV. Provider business mailing address

5730 W ATLANTIS WAY PHOENIX AZ 85043
PHOENIX AZ
85043-0150
US

V. Phone/Fax

Practice location:
  • Phone: 480-234-2333
  • Fax: 480-234-2333
Mailing address:
  • Phone: 480-234-2333
  • Fax: 480-234-2333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: MR. BRADEL PATIENT PENDELELO
Title or Position: MANAGER
Credential: BEHAVIOR HEALTH TECH
Phone: 480-234-2333