Healthcare Provider Details

I. General information

NPI: 1487866109
Provider Name (Legal Business Name): CAROLYN LUNA-ANDERSON LPCC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 CERRILLOS RD
SANTA FE NM
87505-3373
US

IV. Provider business mailing address

PO BOX 4939
SANTA FE NM
87502-4939
US

V. Phone/Fax

Practice location:
  • Phone: 505-438-0010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0087401
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License NumberR12868
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: