Healthcare Provider Details

I. General information

NPI: 1528915154
Provider Name (Legal Business Name): BETTER HALF OF ME BEHAVIORAL WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 E COCOPAH STREET
PHOENIX AZ
85034-0000
US

IV. Provider business mailing address

1310 E COCOPAH STREET
PHOENIX AZ
85034-0000
US

V. Phone/Fax

Practice location:
  • Phone: 602-441-1095
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: RYAN RICHARDSON
Title or Position: SOLE MEMBER
Credential:
Phone: 385-333-1792