| Blue Moon Therapy, Pllc | |
|
23144 Cinco Ranch Blvd # B-1105 Katy TX 77494-2894 | |
| (832) 535-2616 | |
| Not Available |
| Full Name | Blue Moon Therapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 23144 Cinco Ranch Blvd # B-1105, Katy, Texas |
| Authorized Official Name and Position | Angela Bailey (THERAPIST) |
| Authorized Official Contact | 8326002493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Moon Therapy, Pllc 8515 Spotslyvania Ln Houston TX 77083-6437 Ph: () - | Blue Moon Therapy, Pllc 23144 Cinco Ranch Blvd # B-1105 Katy TX 77494-2894 Ph: (832) 535-2616 |
| NPI Number | 1972255560 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 10/02/2024 |
| Certification Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972255560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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