Organization
BRAVE HEARTS WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE KALULE (CEO)
(818) 732-7338
Entity
Organization
Contact information
Practice address
9100 N CENTRAL AVE, PHOENIX, AZ 85020-2430
(480) 664-4641
Mailing address
608 W MISSION LN, PHOENIX, AZ 85021-3541
(818) 732-7338
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
06/02/2025
Last updated
06/04/2025
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