Provider Demographics
NPI:1841998119
Name:MEJORESTAR-BETTERBEING LLC
Entity type:Organization
Organization Name:MEJORESTAR-BETTERBEING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAGMAR
Authorized Official - Middle Name:E
Authorized Official - Last Name:NUNEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:954-404-3889
Mailing Address - Street 1:1383 SEAGRAPE CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-2726
Mailing Address - Country:US
Mailing Address - Phone:954-404-3889
Mailing Address - Fax:954-838-5386
Practice Address - Street 1:2863 EXECUTIVE PARK DR STE 106
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-3647
Practice Address - Country:US
Practice Address - Phone:954-769-1285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty