| Therapy By Moonlight, Inc.; Imari Childs, Lcsw | |
|
4058 Orange Ave Long Beach CA 90807-3717 | |
| (310) 362-4047 | |
| Not Available |
| Full Name | Therapy By Moonlight, Inc.; Imari Childs, Lcsw |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4058 Orange Ave, Long Beach, California |
| Authorized Official Name and Position | Imari Childs (CEO) |
| Authorized Official Contact | 4156370232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy By Moonlight, Inc.; Imari Childs, Lcsw 6078 Kingwood Cir Apt 76 Rocklin CA 95677-3473 Ph: (415) 637-0232 | Therapy By Moonlight, Inc.; Imari Childs, Lcsw 4058 Orange Ave Long Beach CA 90807-3717 Ph: (310) 362-4047 |
| NPI Number | 1780345348 |
|---|---|
| Provider Enumeration Date | 01/06/2022 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780345348 | NPI | - | NPPES |
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