Provider Demographics
NPI:1194528596
Name:THE BLUEST IRIS PLLC
Entity type:Organization
Organization Name:THE BLUEST IRIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:MARVEL
Authorized Official - Last Name:MIRANDA-CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:203-600-4546
Mailing Address - Street 1:212 BLOHM ST # 2
Mailing Address - Street 2:
Mailing Address - City:WEST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06516-6007
Mailing Address - Country:US
Mailing Address - Phone:203-600-4546
Mailing Address - Fax:
Practice Address - Street 1:212 BLOHM ST # 2
Practice Address - Street 2:
Practice Address - City:WEST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06516-6007
Practice Address - Country:US
Practice Address - Phone:203-600-4546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty