Healthcare Provider Details

I. General information

NPI: 1487159786
Provider Name (Legal Business Name): A BETTER YOU WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 03/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3529 N PINE ISLAND RD
SUNRISE FL
33351-6638
US

IV. Provider business mailing address

3529 N PINE ISLAND RD
SUNRISE FL
33351-6638
US

V. Phone/Fax

Practice location:
  • Phone: 954-947-8668
  • Fax: 954-974-8853
Mailing address:
  • Phone: 954-947-8668
  • Fax: 954-974-8853

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: MYRIAM AUGUSTINE
Title or Position: CEO
Credential:
Phone: 954-947-8668