Luna Vista Behavioral Health Services, LLC
NPI #1831998004 in Ranchos De Taos, New Mexico
Provider Information
- NPI Number
- 1831998004
- Entity Type
- Organization
- Organization Name
- Luna Vista Behavioral Health Services, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 11, 2025
- Last Updated
- Sep 18, 2025
Practice Location
- Address
- 61B W ROMERO RD
- City
- Ranchos De Taos
- State
- New Mexico
- ZIP Code
- 87557-8747
- Phone
- (575) 779-4939
Authorized Official
- Name
- NICOLE V ABEYTA, MBA
- Title
- CEO/ OWNER
- Phone
- (575) 779-2828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Community/Behavioral Health |
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|---|---|
| MR. Kenneth Kriss Goodrow II, MS, LPCC, NCC, CCMHC |
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