Provider Demographics
NPI:1275377343
Name:LUNA-ORTIZ, ALMA HAIDEE
Entity type:Individual
Prefix:
First Name:ALMA
Middle Name:HAIDEE
Last Name:LUNA-ORTIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 VICTORIA MARIE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-6103
Mailing Address - Country:US
Mailing Address - Phone:915-920-2562
Mailing Address - Fax:
Practice Address - Street 1:1460 VICTORIA MARIE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-6103
Practice Address - Country:US
Practice Address - Phone:915-920-2562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-22
Last Update Date:2024-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90016101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional