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BLUE PHOENIX THERAPY LLC
NPI 1043960636
Counselor - Professional in Rio Rancho, NM

Active since March 25, 2022
1740 GRANDE BLVD SE STE D-4, RIO RANCHO, NM 87124(505) 219-1028 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, Apr 4, 2022 (2 updates tracked since 2022).

About Blue Phoenix Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE PHOENIX THERAPY LLC (NPI 1043960636) is a healthcare organization registered as a professional in Rio Rancho, New Mexico and active in the NPI registry since March 2022. The organization lists Angela M Barela, Owner, as its authorized official.

NPPES Registry Identity

NPI1043960636
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBLUE PHOENIX THERAPY LLC
Location Address1740 GRANDE BLVD SE STE D-4Rio Rancho, NM 87124-1799
Mailing Address1740 Grande Blvd Se Ste D-4Rio Rancho, NM 87124-1799 · (505) 219-1028
Phone(505) 219-1028
Organization SubpartNo
Authorized OfficialAngela M BarelaOwner · (505) 219-1028
Enumeration DateMarch 25, 2022
Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
✔ NPI 1043960636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1740 GRANDE BLVD SE STE D-4, Rio Rancho, NM 87124
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Other Identifiers 1

Medicaid01354353NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Phoenix Therapy LLC's NPI number?

The NPI number for Blue Phoenix Therapy LLC is 1043960636. It was assigned to this organization in the NPPES registry on March 25, 2022.

Where is Blue Phoenix Therapy LLC located?

Blue Phoenix Therapy LLC is located at 1740 Grande Blvd SE Ste D-4, Rio Rancho, NM 87124. The listed phone number is (505) 219-1028.

What is Blue Phoenix Therapy LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Blue Phoenix Therapy LLC was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.