Healthcare Provider Details

I. General information

NPI: 1326804881
Provider Name (Legal Business Name): BBS WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11042 N 24TH AVE STE 102
PHOENIX AZ
85029-4777
US

IV. Provider business mailing address

11814 W PATRICK LN
SUN CITY AZ
85373-5440
US

V. Phone/Fax

Practice location:
  • Phone: 602-536-8003
  • Fax:
Mailing address:
  • Phone:
  • 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 State

VIII. Authorized Official

Name: LAUREN BEST
Title or Position: EXECUTIVE DIRECTOR
Credential: DPT
Phone: 612-554-2224