| Moonflower Therapy Services Llc | |
|
218 Mechanic St Waterville OH 43566-1438 | |
| (567) 801-6279 | |
| Not Available |
| Full Name | Moonflower Therapy Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 218 Mechanic St, Waterville, Ohio |
| Authorized Official Name and Position | Amanda L Stilwell (OWNER) |
| Authorized Official Contact | 5678016279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonflower Therapy Services Llc 277 Margaret Pl Perrysburg OH 43551-1724 Ph: (330) 419-0518 | Moonflower Therapy Services Llc 218 Mechanic St Waterville OH 43566-1438 Ph: (567) 801-6279 |
| NPI Number | 1922767490 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 12/13/2021 |
| Certification Date | 12/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922767490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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