Organization
B2 HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVA A BOSWELL MD (OWNER)
(505) 480-5156
Entity
Organization
Contact information
Practice address
8204 LOUISIANA BLVD NE STE A, ALBUQUERQUE, NM 87113-1737
(505) 582-2180
(505) 639-4145
Mailing address
PO BOX 16196, ALBUQUERQUE, NM 87191-6196
(505) 480-5156
(505) 639-4145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
05/27/2020
Last updated
04/25/2022
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