Blue Phoenix Therapy Llc
LBN: Blue Phoenix Therapy Llc
Blue Phoenix Therapy Llc is an health care organization with primary practice located at 1740 Grande Blvd Se Ste D-4 , Rio Rancho NM 87124-1799. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty.
Blue Phoenix Therapy Llc can be contacted via phone (505) 219-1028, or through Barela, Angela M via phone (505) 219-1028.
Contact Information
Primary practice address
1740 Grande Blvd Se Ste D-4
Rio Rancho NM 87124-1799
Phone: (505) 219-1028
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1043960636 |
|---|---|
| LBN Legal business name | Blue Phoenix Therapy Llc |
| DBA Doing business as | |
| Authorized official | Barela, Angela M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 25th, 2022 |
| Last updated | Aug 29th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043960636 | NPPES |
| New Mexico | MEDICAID | 01354353 |
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