| Moonlit Counseling | |
|
3595 E Fountain Blvd Ste 205 Colorado Springs CO 80910-7718 | |
| (719) 623-7190 | |
| (719) 399-1669 |
| Full Name | Moonlit Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3595 E Fountain Blvd Ste 205, Colorado Springs, Colorado |
| Authorized Official Name and Position | Ashlie D Staples (OWNER) |
| Authorized Official Contact | 7196237190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonlit Counseling 3595 E Fountain Blvd Ste 205 Colorado Springs CO 80910-7718 Ph: (719) 623-7190 | Moonlit Counseling 3595 E Fountain Blvd Ste 205 Colorado Springs CO 80910-7718 Ph: (719) 623-7190 |
| NPI Number | 1184478620 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184478620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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