| New Moon Counseling And Wellness, Llc | |
|
713 Millpond Rd Ste 8 Lexington KY 40514-1570 | |
| (859) 539-2353 | |
| Not Available |
| Full Name | New Moon Counseling And Wellness, Llc |
|---|---|
| Speciality | Counselor |
| Location | 713 Millpond Rd Ste 8, Lexington, Kentucky |
| Authorized Official Name and Position | Catherine Toledo (CLINICAL MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8285079488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Moon Counseling And Wellness, Llc 2350 Heather Way Lexington KY 40503-2611 Ph: (828) 507-9488 | New Moon Counseling And Wellness, Llc 713 Millpond Rd Ste 8 Lexington KY 40514-1570 Ph: (859) 539-2353 |
| NPI Number | 1447862560 |
|---|---|
| Provider Enumeration Date | 08/19/2020 |
| Last Update Date | 08/19/2020 |
| Certification Date | 08/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447862560 | NPI | - | NPPES |
| 7100677810 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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