| Lifespan Wellness Llc | |
|
8200 Mountain Rd Ne Ste 101 Albuquerque NM 87110-7835 | |
| (505) 385-0161 | |
| (505) 544-4648 |
| Full Name | Lifespan Wellness Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8200 Mountain Rd Ne Ste 101, Albuquerque, New Mexico |
| Authorized Official Name and Position | Erika K Johnson-jimenez (PSYCHOLOGIST) |
| Authorized Official Contact | 5053860063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Wellness Llc 8200 Mountain Rd Ne Ste 101 Albuquerque NM 87110-7835 Ph: (505) 385-0161 | Lifespan Wellness Llc 8200 Mountain Rd Ne Ste 101 Albuquerque NM 87110-7835 Ph: (505) 385-0161 |
| NPI Number | 1790180743 |
|---|---|
| Provider Enumeration Date | 11/01/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790180743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4880277 (New Mexico) | Primary |
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