Healthcare Provider Details

I. General information

NPI: 1053297812
Provider Name (Legal Business Name): HEALTHY BEGINNINGS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4539 N 22ND ST STE 4604
PHOENIX AZ
85016-4639
US

IV. Provider business mailing address

4539 N 22ND ST STE 4604
PHOENIX AZ
85016-4639
US

V. Phone/Fax

Practice location:
  • Phone: 520-636-5505
  • Fax: 520-462-8160
Mailing address:
  • Phone: 520-636-5505
  • Fax: 520-462-8160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. RENEE NELSON
Title or Position: MANAGING MEMBER
Credential: DBH, LPC
Phone: 520-636-5505