| Moonflower Counseling Pllc | |
|
1100 Beech St Bldg 8-1 Normal IL 61761-1560 | |
| (435) 640-7763 | |
| Not Available |
| Full Name | Moonflower Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1100 Beech St Bldg 8-1, Normal, Illinois |
| Authorized Official Name and Position | Shannon Griffith (OWNER) |
| Authorized Official Contact | 4356407763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonflower Counseling Pllc 1455 County Road 200 N Goodfield IL 61742-7504 Ph: (435) 640-7763 | Moonflower Counseling Pllc 1100 Beech St Bldg 8-1 Normal IL 61761-1560 Ph: (435) 640-7763 |
| NPI Number | 1407605744 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407605744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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