Provider Demographics
NPI:1750174496
Name:EVERBLOOM THERAPY AND WELLNESS PLLC
Entity type:Organization
Organization Name:EVERBLOOM THERAPY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:915-328-0935
Mailing Address - Street 1:10324 CARDIGAN DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-1608
Mailing Address - Country:US
Mailing Address - Phone:915-328-0935
Mailing Address - Fax:
Practice Address - Street 1:2829 MONTANA AVE STE L107
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-2431
Practice Address - Country:US
Practice Address - Phone:915-666-3504
Practice Address - Fax:915-499-5404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-26
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand