Organization
LOVE YOUR LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R MOYA LCSW (OWNER)
(505) 920-2258
Entity
Organization
Contact information
Practice address
2074 GALISTEO ST STE B4, SANTA FE, NM 87505-2157
(505) 920-2258
(505) 303-3500
Mailing address
2074 GALISTEO ST STE B4, SANTA FE, NM 87505-2157
(505) 920-2258
(505) 303-3500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C09370
NM
Other
Enumeration date
09/25/2017
Last updated
06/10/2021
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