Be Wise Wellness Clinic LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BE WISE WELLNESS CLINIC LLC

Practice address

5830 N 19TH Ave BLDG B
Phoenix, AZ 85015-2494

Phone

(800) 817-6437

NPI assigned

Dec 17, 2024

Last updated

Jul 19, 2026By 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

Brandi Caudell

Title

Administrator

Phone

(602) 486-4328

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784419200000",
    "number": "1356158885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 464",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853800464",
            "telephone_number": "480-219-7785",
            "fax_number": "800-793-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 N 19TH AVE BLDG B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152494",
            "telephone_number": "800-817-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE WISE WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "CAUDELL",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-486-4328"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Be the Change Concierge Nursing and Home
• Be Well Family Care (Be Well Health)
• Bonny Marguerite Beach, LISAC
• James Beach, D.O.
• Joseph Ross Beach III, PA-C
• Lee Ann Beach, RN
• Shanna N. Beach, PT

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; 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.