Organization
BLUE SPHERE WELLNESS LLC DBA BIENESTAR ESPHERA AZUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELAINA MARTINEZ (OWNER)
(505) 347-8136
Entity
Organization
Contact information
Practice address
1202 CENTRAL AVE SW, ALBUQUERQUE, NM 87102-2803
(505) 347-8136
Mailing address
223 N GUADALUPE ST # 727, SANTA FE, NM 87501-1868
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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