| 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 |