Phoenix Moon Healing, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PHOENIX MOON HEALING, PLLC

Practice address

4601 50TH St Ste 201
Lubbock, TX 79414-3518

Phone

(806) 778-1982

NPI assigned

Jul 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bethany Victoria Luna, LMFTNPI 1063878015

Title

Owner

Phone

(806) 778-1982

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Phoenix Moon Therapy Doing business as

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bethany Victoria Luna, LMFT

  • Marriage & Family Therapist
  • Lubbock, TX
  • NPI 1063878015
  NPD Authorized official
• Marie Luna, MED, LPC

  • Professional Counselor
  • Lubbock, TX
  • NPI 1922367630
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1306519780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 50TH ST STE 201",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143518",
            "telephone_number": "806-778-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 50TH ST STE 201",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143518",
            "telephone_number": "806-778-1982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8008 Slide Rd Ste 12A",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794242828",
            "country_code": "US",
            "telephone_number": "806-778-1982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX MOON HEALING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-778-1982",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922367630",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063878015",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://doxy.me/mbluna",
            "affiliation": "N",
            "endpointDescription": "internet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DOXY",
            "address_1": "4601 50th St Ste 201",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794143518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Phoenix Moon Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sterling Kenton Phillips, L.P., C.P.
• Ted L Phipps, M.D.
• Sorot Phisitkul, MD
• Phoenix Bay LTD
• Phoenix Home Care Service, Inc.
• Phoenix Restorative Care Inc
• Jennifer Lynn Phy, D.O.
• Michael P. Phy, D.O.
• Physical Resources, LLC
• Physical Therapy Associates, LP

• Marriage & Family Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.