Provider Demographics
NPI:1225376130
Name:BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA, LLC
Entity Type:Organization
Organization Name:BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA, LLC
Other - Org Name:BETTER LIFE BEHAVIORAL SERVICES OF CENTRAL FLORIDA, LLP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:352-314-3760
Mailing Address - Street 1:1650 W MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-2842
Mailing Address - Country:US
Mailing Address - Phone:302-740-1287
Mailing Address - Fax:352-314-2909
Practice Address - Street 1:1650 W MAIN ST
Practice Address - Street 2:UNIT 1
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-2841
Practice Address - Country:US
Practice Address - Phone:302-740-1287
Practice Address - Fax:352-314-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1-02-0775103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty