Brave Hearts Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRAVE HEARTS WELLNESS, LLC

Practice address

9100 N Central Ave
Phoenix, AZ 85020-2430

Phone

(480) 664-4641

NPI assigned

Jun 2, 2025

Last updated

Jun 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elsie Kalule

Title

Ceo

Phone

(818) 732-7338

Specialties & licenses 3

Addresses

Tax ID family

Brave Hearts Wellness Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brave Hearts Wellness Center, LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1568235224
  NPD tax ID

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1326931791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W MISSION LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850213541",
            "telephone_number": "818-732-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202430",
            "telephone_number": "480-664-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVE HEARTS WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "KALULE",
        "authorized_official_first_name": "ELSIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-732-7338"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Braun, MD
• Benjamin Joseph Braunecker
• Lyle Daniel Brauner, PHARMD
• Ethan M Braunstein, M.D.
• Brave Hearts Wellness Center, LLC
• Brave Star Health Inc
• Dulce Bravo Flores
• Brenda Bravo
• Victoria Bravo, OWNER
• Laverne Braxton, MS

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.