Organization
SPECIAL NEEDS CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY LUNA CNP (OWNER)
(575) 420-9380
Entity
Organization
Contact information
Practice address
227 N MAIN ST, ROSWELL, NM 88201-4722
(575) 420-9380
Mailing address
PO BOX 5834, ROSWELL, NM 88202-5834
(575) 624-2095
(575) 627-5721
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP-02032
NM
Other
Enumeration date
11/06/2012
Last updated
01/24/2018
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