| Crescent Moon Behavioral Health, Llc | |
|
13000 Harbor Center Dr Ste 142 Woodbridge VA 22192-2847 | |
| (816) 769-4486 | |
| Not Available |
| Full Name | Crescent Moon Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 13000 Harbor Center Dr Ste 142, Woodbridge, Virginia |
| Authorized Official Name and Position | Camilla Hendren (CEO) |
| Authorized Official Contact | 8167694486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Moon Behavioral Health, Llc 108 S Fayette St Alexandria VA 22314-2919 Ph: (816) 769-4486 | Crescent Moon Behavioral Health, Llc 13000 Harbor Center Dr Ste 142 Woodbridge VA 22192-2847 Ph: (816) 769-4486 |
| NPI Number | 1235946799 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235946799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Sage Community Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2239b Tacketts Mill Dr, Woodbridge, VA 22192 Phone: 703-508-3565 Fax: 866-377-6092 | |
Psychology Associates Of Northern Virginia, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1954 Opitz Blvd # 7, Woodbridge, VA 22191 Phone: 703-356-9136 Fax: 703-492-2925 | |
Beehavior Aba Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3422 Beaumont Rd, Woodbridge, VA 22193 Phone: 703-801-5836 | |
In Good Hands Provider, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12531 Clipper Dr Ste 202, Woodbridge, VA 22192 Phone: 202-681-8320 | |
About Change, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13190 Centerpointe Way, Woodbridge, VA 22193 Phone: 919-737-5600 | |
Ashley Patrican Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4343a Ridgewood Center Dr, Woodbridge, VA 22192 Phone: 703-897-8970 | |
All About Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2945 Rotterdam Loop, Woodbridge, VA 22191 Phone: 703-615-6915 Fax: 571-285-0242 |