| Therapy By Moonlight Pllc | |
|
1000 Heritage Center Cir # 119 Round Rock TX 78664-4463 | |
| (512) 356-9301 | |
| Not Available |
| Full Name | Therapy By Moonlight Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1000 Heritage Center Cir # 119, Round Rock, Texas |
| Authorized Official Name and Position | Marlene Luna (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 9566625707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy By Moonlight Pllc 2130 Bluffstone Dr Round Rock TX 78665-2570 Ph: (956) 662-5707 | Therapy By Moonlight Pllc 1000 Heritage Center Cir # 119 Round Rock TX 78664-4463 Ph: (512) 356-9301 |
| NPI Number | 1902679004 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902679004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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