Blue Moon Behavioral Health, PLLC
Blue Moon Behavioral Health, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Rockville, Maryland. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
199 E Montgomery Ave Ste 100Rockville, MD 20850-2361
Phone: (301) 719-2913
Fax: (301) 867-5278
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1023841061 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shineka Mack — Owner · (704) 258-6720 |
| NPI enumerated | August 23, 2024 |
| Last updated in NPPES | August 23, 2024 |
| Certification date | August 23, 2024 |
| Mailing address | 9302 Wooden Rd, Raleigh, NC 27617-8214 |
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