NPI | 1306519780 |
---|---|
Doing Business As | PHOENIX MOON THERAPY |
Entity Type | Organization |
Authorized Contact | BETHANY VICTORIA LUNA Owner 806-778-1982 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YP2500X Counselor, Professional |
Enumeration Date | 2021-07-30 |
Last Update Date | 2021-07-30 |