| Moonlight Counseling, Llc. | |
|
150 E Wilson Bridge Rd Ste 220 Worthington OH 43085-6302 | |
| (614) 636-1413 | |
| Not Available |
| Full Name | Moonlight Counseling, Llc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 150 E Wilson Bridge Rd Ste 220, Worthington, Ohio |
| Authorized Official Name and Position | Olivia Peterson (OWNER) |
| Authorized Official Contact | 6146361413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonlight Counseling, Llc. 41 N Columbus St Sunbury OH 43074-9221 Ph: () - | Moonlight Counseling, Llc. 150 E Wilson Bridge Rd Ste 220 Worthington OH 43085-6302 Ph: (614) 636-1413 |
| NPI Number | 1265270201 |
|---|---|
| Provider Enumeration Date | 07/15/2024 |
| Last Update Date | 07/15/2024 |
| Certification Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265270201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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