NPI 1114509437
Lifesphere LLC
Practice location
- Address
- 532 Don Gaspar Ave, Santa Fe, NM 87505-2626
- Phone
- (505) 983-0693
- Fax
- (505) 393-3070
- Mailing address
- 5 Bisbee CT STE 109, Santa Fe, NM 87508-1419
Authorised official
- Name
- Adonata Pyaga
- Title
- Manager
- Phone
- (505) 983-0693
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1114509437
- Entity type
- Organization
- NPI issued
- 26 Apr 2021
- Record last updated
- 26 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.