MEDICARE: BETTER HALF OF ME BEHAVIORAL WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1528915154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER HALF OF ME BEHAVIORAL WELLNESS LLC

Provider Business Mailing Address
First Line	:	1310 E COCOPAH STREET
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-0000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 E COCOPAH STREET
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85034-0000
Country	:	US
Telephone Number	:	602-441-1095
Fax Number	:

Authorized Official
Title or Position	:	SOLE MEMBER
Name	:	RYAN RICHARDSON
Credential	:
Telephone Number	:	385-333-1792

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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