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Contact Information

BLUE SPHERE WELLNESS LLC DBA BIENESTAR ESPHERA AZUL
1202 CENTRAL AVE SW
ALBUQUERQUE, NM87102-2803
 Phone: 505-347-8136
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for BLUE SPHERE WELLNESS LLC DBA BIENESTAR ESPHERA AZUL

NPI Number 1902480692
LBN Legal business name BLUE SPHERE WELLNESS LLC DBA BIENESTAR ESPHERA AZUL
Authorized official DELAINA MARTINEZ - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2021
Last updated 05/08/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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