Organization · Type 2 NPI

Phoenix Moon Healing, PLLC

Marriage & Family Therapist · Lubbock, TX

NPI number 1306519780 Active

Practice location

4415 71st St Ste 24
Lubbock, TX 79424-2335

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1306519780

Phoenix Moon Healing, PLLC's National Provider Identifier is 1306519780, issued on Jul 30, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Lubbock, TX. The record was last updated on Oct 7, 2026.