| Luna Counseling Llc | |
|
1421 Luisa St Santa Fe NM 87505-4073 | |
| (505) 310-1876 | |
| Not Available |
| Full Name | Luna Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1421 Luisa St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lorri J Ballard (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 5053101876 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luna Counseling Llc 1421 Luisa St Ste O Santa Fe NM 87505-4073 Ph: (505) 310-1876 | Luna Counseling Llc 1421 Luisa St Santa Fe NM 87505-4073 Ph: (505) 310-1876 |
| NPI Number | 1770901506 |
|---|---|
| Provider Enumeration Date | 03/29/2014 |
| Last Update Date | 04/18/2017 |
| Medicare PECOS PAC ID | 2163873613 |
|---|---|
| Medicare Enrollment ID | O20240109001707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770901506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0188661 (New Mexico) | Primary |
| Provider Name | Lorri J Ballard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295105443 PECOS PAC ID: 3072964527 Enrollment ID: I20240109002070 |
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