# LUNA Y SOL LIFE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083135552
- **Authorized official:** TERESA GRAY PLCSW (OWNER/MANAGER/PROVIDER)
- **Authorized official phone:** (575) 626-6349

## Contact information

- **Practice address:** 2001 W 4TH ST, ROSWELL, NM 88201-1752
- **Practice address phone:** (575) 626-6349
- **Mailing address:** PO BOX 2773, ROSWELL, NM 88202-2773
- **Mailing address phone:** (575) 626-6349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2017
- **Last updated:** 07/05/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1245620400 | — | NM |