Healthcare Provider Details

I. General information

NPI: 1831902089
Provider Name (Legal Business Name): BEYOND MEASURES HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1844 E DANA AVE
MESA AZ
85204-1351
US

IV. Provider business mailing address

1844 E DANA AVE
MESA AZ
85204-1351
US

V. Phone/Fax

Practice location:
  • Phone: 623-473-0169
  • Fax:
Mailing address:
  • Phone: 623-473-0169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LAMERRA MICHELLE JOHNSON
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 623-473-0169