Healthcare Provider Details

I. General information

NPI: 1962095463
Provider Name (Legal Business Name): BETTER LIFE COMMUNITY MENTAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4896 NW 7TH ST UNIT S
MIAMI FL
33126-2102
US

IV. Provider business mailing address

4896 NW 7TH ST UNIT S
MIAMI FL
33126-2102
US

V. Phone/Fax

Practice location:
  • Phone: 786-534-2023
  • Fax: 786-633-5846
Mailing address:
  • Phone: 786-534-2023
  • Fax: 786-633-5846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TANIA RANGEL
Title or Position: PRESIDENT
Credential:
Phone: 786-317-2899