Organization
BLUE SAGE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA HOLD MASTERS/CIOUNSELING (MANAGING MEMBER)
(480) 356-4370
Entity
Organization
Contact information
Practice address
18256 E WILLIAMS FIELD RD, GILBERT, AZ 85295-6801
(480) 356-4370
Mailing address
18256 E WILLIAMS FIELD RD STE 6, GILBERT, AZ 85295-6808
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/19/2020
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