Provider Demographics
NPI:1790383115
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:
Other - Org Type:
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:352-630-4133
Mailing Address - Fax:352-314-3760
Practice Address - Street 1:1650 W MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-2842
Practice Address - Country:US
Practice Address - Phone:352-630-4133
Practice Address - Fax:352-314-3760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-16
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty