# LUNA Y SOL LLC

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

## Provider details

- **NPI number:** 1235697608
- **Authorized official:** DEBRA SYLVESTER LCSW (OWNER / DIRECTOR)
- **Authorized official phone:** (801) 949-1993

## Contact information

- **Practice address:** 150 S 600 E STE 7C, SALT LAKE CITY, UT 84102-1989
- **Practice address phone:** (801) 949-1993
- **Mailing address:** 1204 S MCCLELLAND ST, SALT LAKE CITY, UT 84105-1825
- **Mailing address phone:** (801) 949-1993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 03/05/2019
- **Last updated:** 03/05/2019