MEDICARE: BLISS BEHAVIORAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1144029703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLISS BEHAVIORAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	1218 E YANDELL DR STE 203
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5527
Country	:	US
Telephone Number	:	915-373-8891
Fax Number	:	915-900-6019

Provider Business Practice Location Address
First Line	:	1218 E YANDELL DR STE 203
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79902-5527
Country	:	US
Telephone Number	:	915-373-8891
Fax Number	:

Authorized Official
Title or Position	:	PSYCHIATRIC MENTAL HEALTH NP
Name	:	ANNA BARBARA PORTER
Credential	:	PMHNP-BC
Telephone Number	:	915-373-8891

Provider Enumeration Date	:	03/07/2025
Last Update Date	:	01/30/2026

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