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General NPI Number Information
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NPI Number | 1457819831
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Entity Type | Organization
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Legal Business Name | BETTER LIVING MENTAL HEALTH LLC
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 120 BEACH 26TH ST APT 1106
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-2239
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Country | US
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Telephone | 516-690-6462
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Fax |
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Provider Business Mailing Address
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Address Line | 120 BEACH 26TH ST APT 1106
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-2239
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Country | US
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Telephone | 516-455-0764
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA MARIE PERSAD
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Credential | NP
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Telephone | 516-690-6462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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