Organization
BEAM OF LIGHT HEALTH SERVICES INC
Active
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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