| Luna Y Sol Life Services | |
|
2001 W 4th St Roswell NM 88201-1752 | |
| (575) 626-6349 | |
| Not Available |
| Full Name | Luna Y Sol Life Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2001 W 4th St, Roswell, New Mexico |
| Authorized Official Name and Position | Teresa Gray (OWNER/MANAGER/PROVIDER) |
| Authorized Official Contact | 5756266349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Y Sol Life Services Po Box 2773 Roswell NM 88202-2773 Ph: (575) 626-6349 | Luna Y Sol Life Services 2001 W 4th St Roswell NM 88201-1752 Ph: (575) 626-6349 |
| NPI Number | 1083135552 |
|---|---|
| Provider Enumeration Date | 07/05/2017 |
| Last Update Date | 07/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083135552 | NPI | - | NPPES |
| 1245620400 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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