Organization
BEAM OF LIGHT HEALTH SERVICES INC
Active
Other names
Beam of Light
Organization subpart
No
Provider details
NPI number
Authorized official
JOWHARAH N HALL (CEO)
(480) 749-8865
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE STE C603, PHOENIX, AZ 85029-4611
(480) 956-4221
(480) 956-2625
Mailing address
3201 W PEORIA AVE STE C603, PHOENIX, AZ 85029-4611
(480) 956-2623
(480) 956-2625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/18/2022
Last updated
11/04/2025
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