Healthcare Provider Details

I. General information

NPI: 1568014397
Provider Name (Legal Business Name): BEIA'S PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2019
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7225 S 2ND GLN
PHOENIX AZ
85041-7142
US

IV. Provider business mailing address

2030 W BASELINE RD STE 182-749
PHOENIX AZ
85041-6574
US

V. Phone/Fax

Practice location:
  • Phone: 602-276-5039
  • Fax: 602-296-0125
Mailing address:
  • Phone: 877-319-9068
  • Fax: 602-296-0125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RABEIA H MCCRAY
Title or Position: CEO
Credential:
Phone: 602-301-2628