MEDICARE: HEALTHY BEGINNINGS, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053297812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY BEGINNINGS, PLLC

Provider Business Mailing Address
First Line	:	4539 N 22ND ST STE 4604
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4639
Country	:	US
Telephone Number	:	520-636-5505
Fax Number	:	520-462-8160

Provider Business Practice Location Address
First Line	:	4539 N 22ND ST STE 4604
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4639
Country	:	US
Telephone Number	:	520-636-5505
Fax Number	:	520-462-8160

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. RENEE NELSON
Credential	:	DBH, LPC
Telephone Number	:	520-636-5505

Provider Enumeration Date	:	08/15/2025
Last Update Date	:	10/16/2025

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