Building Overcomers Wellness Services

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BUILDING OVERCOMERS WELLNESS SERVICES

Practice address

1821 N Trekell Rd
Casa Grande, AZ 85122-1705

Phone

(623) 522-2693

NPI assigned

Feb 21, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grace Agnes Beacham

Title

Chief Administrator

Phone

(520) 759-7003

Specialties & licenses 1

Addresses

Other names 1

• Building Overcomers Wellness Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1083312847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N TREKELL RD STE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221705",
            "telephone_number": "520-759-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N TREKELL RD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221705",
            "telephone_number": "623-522-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUILDING OVERCOMERS WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "BEACHAM",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "AGNES",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "520-759-7003"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Building Overcomers Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Building Overcomers Wellness Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Marie Brubaker, PHARM.D
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• Jessica Ann Buchanan, SLP
• Christina Bugliarello
• Jelena Bulatovic
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• Bessie Lynn Burk, FNP-BC
• Joanna Burnett, MA, BCBA, LBA
• Christine Rae Burris

• Counselor in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.