Provider Demographics
NPI:1639053754
Name:BLUE SPRINGS WELLNESS, INC
Entity type:Organization
Organization Name:BLUE SPRINGS WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:SARKIS
Authorized Official - Last Name:SHLARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-339-6093
Mailing Address - Street 1:9221 CORBIN AVE STE 150
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-2482
Mailing Address - Country:US
Mailing Address - Phone:818-339-6093
Mailing Address - Fax:818-688-0399
Practice Address - Street 1:9221 CORBIN AVE STE 150
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-2482
Practice Address - Country:US
Practice Address - Phone:818-339-6093
Practice Address - Fax:818-688-0399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health