BRAVE HEARTS WELLNESS, LLC
NPI 1326931791
Community/Behavioral Health in Phoenix, AZ

Active since June 02, 2025CLIA 03D2351013 · Waiver
9100 N CENTRAL AVE, PHOENIX, AZ 85020(480) 664-4641 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brave Hearts Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAVE HEARTS WELLNESS, LLC (NPI 1326931791) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since June 2025. The organization holds a CLIA Waiver certificate valid through September 17, 2028 and lists Elsie Kalule, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326931791
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBRAVE HEARTS WELLNESS, LLC
Location Address9100 N CENTRAL AVEPhoenix, AZ 85020-2430
Mailing Address608 W Mission LnPhoenix, AZ 85021-3541 · (818) 732-7338
Organization SubpartNo
Authorized OfficialElsie KaluleCeo · (818) 732-7338
Enumeration DateJune 2, 2025
Last NPPES UpdateJune 4, 2025
NPPES CertifiedJune 4, 2025
✔ NPI 1326931791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
9100 N CENTRAL AVE, Phoenix, AZ 85020

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2351013

Brave Hearts Wellness Center LLC · Phoenix, AZ
Active · expires Sep 17, 2028
CLIA Number03D2351013
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2026
Certificate Expiration DateSeptember 17, 2028
Laboratory DirectorCho Long Kim Richards
Laboratory Phone(480) 664-4641
Laboratory LocationBrave Hearts Wellness Center LLC9100 N Central Ave, Phoenix, AZ 85020
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
9100 N CENTRAL AVE
PHOENIX, AZ 85020
Clinic/Center
9100 N CENTRAL AVE
PHOENIX, AZ 85020
Pediatrics
9100 N CENTRAL AVE, SUITE E
PHOENIX, AZ 85020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brave Hearts Wellness, LLC's NPI number?

The NPI number for Brave Hearts Wellness, LLC is 1326931791. It was assigned to this organization in the NPPES registry on June 2, 2025.

Where is Brave Hearts Wellness, LLC located?

Brave Hearts Wellness, LLC is located at 9100 N Central Ave, Phoenix, AZ 85020. The listed phone number is (480) 664-4641.

What is Brave Hearts Wellness, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Brave Hearts Wellness, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2351013) is associated with this NPI, valid through September 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brave Hearts Wellness, LLC was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.