Beyond4Wallz Health and Wellness Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEYOND4WALLZ HEALTH AND WELLNESS CENTER LLC

Practice address

14231 N 7TH St Ste B7
Phoenix, AZ 85022-4362

Phone

(602) 228-8818

NPI assigned

Nov 14, 2020

Organization subpart

No

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

Authorized official

Name

Darielle Antoinette MageeNPI 1851993737

Title

Owner

Phone

(586) 935-2409

Specialties & licenses 1

Addresses

Other names 1

• BEYOND4WALLZ HEALTH AND WELLNESS LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darielle Antoinette Magee

  • Health Educator
  • Phoenix, AZ
  • NPI 1851993737
  NPD Authorized official

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1760084644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 N 7TH ST STE B7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224362",
            "telephone_number": "586-935-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 N 7TH ST STE B7",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224362",
            "telephone_number": "602-228-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND4WALLZ HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-14",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "DARIELLE",
        "authorized_official_middle_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-935-2409"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEYOND4WALLZ HEALTH AND WELLNESS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.