| Luna Vista Behavioral Health Services, Llc | |
|
61b W Romero Rd Ranchos De Taos NM 87557-8747 | |
| (575) 779-4939 | |
| Not Available |
| Full Name | Luna Vista Behavioral Health Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 61b W Romero Rd, Ranchos De Taos, New Mexico |
| Authorized Official Name and Position | Nicole V Abeyta (CEO/ OWNER) |
| Authorized Official Contact | 5757794939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Vista Behavioral Health Services, Llc Po Box 351 Ranchos De Taos NM 87557-0351 Ph: (575) 779-4939 | Luna Vista Behavioral Health Services, Llc 61b W Romero Rd Ranchos De Taos NM 87557-8747 Ph: (575) 779-4939 |
| NPI Number | 1831998004 |
|---|---|
| Provider Enumeration Date | 03/11/2025 |
| Last Update Date | 03/11/2025 |
| Certification Date | 03/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831998004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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