| Luna Therapy Services | |
|
14041 Burnhaven Dr Ste 125 Burnsville MN 55337-4408 | |
| (612) 702-6012 | |
| Not Available |
| Full Name | Luna Therapy Services |
|---|---|
| Speciality | Counselor |
| Location | 14041 Burnhaven Dr Ste 125, Burnsville, Minnesota |
| Authorized Official Name and Position | Michaela Arellano (OWNER) |
| Authorized Official Contact | 6127026012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Therapy Services 14041 Burnhaven Dr Ste 125 Burnsville MN 55337-4408 Ph: (612) 702-6012 | Luna Therapy Services 14041 Burnhaven Dr Ste 125 Burnsville MN 55337-4408 Ph: (612) 702-6012 |
| NPI Number | 1346954690 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 11/27/2024 |
| Certification Date | 11/27/2024 |
| Medicare PECOS PAC ID | 3173052164 |
|---|---|
| Medicare Enrollment ID | O20250121000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346954690 | NPI | - | NPPES |
| 1942867783 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Michaela Arellano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942867783 PECOS PAC ID: 9234678459 Enrollment ID: I20240830002594 |
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