Organization
BRAVE HEARTS WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE KALULE (OWNER)
(602) 486-4328
Entity
Organization
Contact information
Practice address
9100 N CENTRAL AVE, PHOENIX, AZ 85020-2430
(602) 486-4328
Mailing address
601 W FILLMORE ST APT 266, PHOENIX, AZ 85003-0020
(480) 664-4641
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/03/2023
Last updated
01/13/2026
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