| Moonbeam Counseling | |
|
150 Main St Ste 26 Northampton MA 01060-3131 | |
| (303) 444-3323 | |
| (413) 779-3395 |
| Full Name | Moonbeam Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 150 Main St Ste 26, Northampton, Massachusetts |
| Authorized Official Name and Position | Heather Rose Floyd-haupt (OWNER) |
| Authorized Official Contact | 3034443323 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonbeam Counseling 150 Main St Ste 26 Northampton MA 01060-3131 Ph: (303) 444-3323 | Moonbeam Counseling 150 Main St Ste 26 Northampton MA 01060-3131 Ph: (303) 444-3323 |
| NPI Number | 1558963157 |
|---|---|
| Provider Enumeration Date | 11/10/2020 |
| Last Update Date | 05/24/2021 |
| Certification Date | 05/24/2021 |
| Medicare PECOS PAC ID | 3375950272 |
|---|---|
| Medicare Enrollment ID | O20210319001446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558963157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Heather R Floyd-haupt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033576533 PECOS PAC ID: 2163750548 Enrollment ID: I20190822002959 |
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