LIFESPAN WELLNESS LLC
NPI 1790180743
Community/Behavioral Health in Albuquerque, NM

Active since November 01, 2014
8200 MOUNTAIN RD NE STE 101, ALBUQUERQUE, NM 87110(505) 385-0161(505) 544-4648 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lifespan Wellness Llc NPPES

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

LIFESPAN WELLNESS LLC (NPI 1790180743) is a healthcare organization registered as a community/behavioral health in Albuquerque, New Mexico and active in the NPI registry since November 2014. The organization lists Erika K Johnson-jimenez, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1790180743
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIFESPAN WELLNESS LLC
Location Address8200 MOUNTAIN RD NE STE 101Albuquerque, NM 87110-7835
Mailing Address8200 Mountain Rd Ne Ste 101Albuquerque, NM 87110-7835 · (505) 385-0161 · Fax (505) 544-4648
Fax(505) 544-4648
Organization SubpartNo
Authorized OfficialErika K Johnson-jimenezPsychologist · (505) 386-0063
Enumeration DateNovember 1, 2014
Last NPPES UpdateJuly 21, 2022
NPI 1790180743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License Licensed in NM · 4880277
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8200 MOUNTAIN RD NE STE 101, Albuquerque, NM 87110

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 Lifespan Wellness LLC's NPI number?

The NPI number for Lifespan Wellness LLC is 1790180743. It was assigned to this organization in the NPPES registry on November 1, 2014.

Where is Lifespan Wellness LLC located?

Lifespan Wellness LLC is located at 8200 Mountain Rd NE Ste 101, Albuquerque, NM 87110. The listed phone number is (505) 385-0161.

What is Lifespan Wellness LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Lifespan Wellness LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.