Provider Demographics
NPI:1457819831
Name:BETTER LIVING MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:BETTER LIVING MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PERSAD
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:516-690-6462
Mailing Address - Street 1:120 BEACH 26TH ST APT 1106
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-2239
Mailing Address - Country:US
Mailing Address - Phone:516-455-0764
Mailing Address - Fax:
Practice Address - Street 1:120 BEACH 26TH ST APT 1106
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-2239
Practice Address - Country:US
Practice Address - Phone:516-690-6462
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty