| Moonflower Therapy, Llc | |
|
491 Massachusetts Ave Ste 2 Arlington MA 02474-5114 | |
| (978) 307-7004 | |
| (978) 288-0232 |
| Full Name | Moonflower Therapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 491 Massachusetts Ave Ste 2, Arlington, Massachusetts |
| Authorized Official Name and Position | Mallory April Horgan (OWNER) |
| Authorized Official Contact | 9783077004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonflower Therapy, Llc Po Box 216 Westminster MA 01473-0216 Ph: (978) 307-7004 | Moonflower Therapy, Llc 491 Massachusetts Ave Ste 2 Arlington MA 02474-5114 Ph: (978) 307-7004 |
| NPI Number | 1144993676 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 07/30/2021 |
| Certification Date | 07/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144993676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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