Organization
LUNA VISTA BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE V ABEYTA MBA (CEO/ OWNER)
(575) 779-2828
Entity
Organization
Contact information
Practice address
61B W ROMERO RD, RANCHOS DE TAOS, NM 87557-8747
(575) 779-4939
Mailing address
PO BOX 351, RANCHOS DE TAOS, NM 87557-0351
(575) 779-2828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
09/18/2025
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