| Silver Moon Mental Health Therapy Llc | |
|
1901 N Hemmer Rd # 203 Palmer AK 99645-9690 | |
| (855) 914-5621 | |
| Not Available |
| Full Name | Silver Moon Mental Health Therapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1901 N Hemmer Rd # 203, Palmer, Alaska |
| Authorized Official Name and Position | Edi Lane Griggs Halstead (OWNER) |
| Authorized Official Contact | 8559145621 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Moon Mental Health Therapy Llc 1950 S Bodenburg Loop Palmer AK 99645-7617 Ph: (855) 914-5621 | Silver Moon Mental Health Therapy Llc 1901 N Hemmer Rd # 203 Palmer AK 99645-9690 Ph: (855) 914-5621 |
| NPI Number | 1902530843 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Certification Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902530843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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