# PHOENIX MOON HEALING, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenix Moon Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306519780
- **Authorized official:** BETHANY VICTORIA LUNA LMFT-S (OWNER)
- **Authorized official phone:** (806) 778-1982

## Contact information

- **Practice address:** 4415 71ST ST STE 24, LUBBOCK, TX 79424-2335
- **Practice address phone:** (806) 778-1982
- **Mailing address:** 4415 71ST ST STE 24, LUBBOCK, TX 79424-2335
- **Mailing address phone:** (806) 778-1982

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/30/2021
- **Last updated:** 10/07/2026