| Beautiful Moon Health & Wellness, Ltd. | |
|
19590 E Mainstreet Ste 202 Parker CO 80138-7371 | |
| (720) 544-3801 | |
| Not Available |
| Full Name | Beautiful Moon Health & Wellness, Ltd. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 19590 E Mainstreet Ste 202, Parker, Colorado |
| Authorized Official Name and Position | Javonni Henderson (OWNER) |
| Authorized Official Contact | 5102569794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beautiful Moon Health & Wellness, Ltd. 18121 E Hampden Ave Ste C1079 Aurora CO 80013-3590 Ph: (720) 544-3801 | Beautiful Moon Health & Wellness, Ltd. 19590 E Mainstreet Ste 202 Parker CO 80138-7371 Ph: (720) 544-3801 |
| NPI Number | 1093597619 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093597619 | NPI | - | NPPES |
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