Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beautiful Moon Health & Wellness, Ltd

Organization Clinical Social Worker · NPI 1093597619

Beautiful Moon Health & Wellness, Ltd is a Clinical Social Worker in Parker, Colorado. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

19590 E Mainstreet Ste 202
Parker, CO 80138-7371
Phone: (720) 544-3801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Nutrition Education Nutritionist Taxonomy 133NN1002X
Mechanotherapist Taxonomy 172M00000X

Record details

NPI number1093597619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Javonni Henderson — Owner · (510) 256-9794
NPI enumeratedOctober 18, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023
Mailing address18121 E Hampden Ave Ste C1079, Aurora, CO 80013-3590

Other providers in Parker