Provider Demographics
NPI:1598523391
Name:SPERO BEHAVIORAL HEALTH LLC
Entity Type:Organization
Organization Name:SPERO BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:BOCCARD
Authorized Official - Last Name:HEALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-273-5101
Mailing Address - Street 1:3092 EVERGREEN PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7849
Mailing Address - Country:US
Mailing Address - Phone:928-273-5101
Mailing Address - Fax:
Practice Address - Street 1:3092 EVERGREEN PKWY STE 100
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-7849
Practice Address - Country:US
Practice Address - Phone:928-273-5101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-07
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health