Organization · Type 2 NPI

BL Med Spa LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Glendale, AZ

NPI number 1801715487 Active

Practice location

4425 W Olive Ave Ste 118F-6
Glendale, AZ 85302-3843

Mailing address

5301 E Wonderview Rd
Phoenix, AZ 85018-1940

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1801715487

BL Med Spa LLC's National Provider Identifier is 1801715487, issued on Jul 15, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Glendale, AZ. The record was last updated on Jul 15, 2026.