Blue Moon Senior Counseling, LLC
Blue Moon Senior Counseling, LLC is a Community/Behavioral Health Agency in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2012.
- Licensed in
- FL
- In the registry since
- 2012
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
900 NE 18th Ave Apt 1207Fort Lauderdale, FL 33304-3054
Phone: (630) 844-7077
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
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence SW10454 (FL) |
|---|
Record details
| NPI number | 1245588441 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melanie Donohue — Owner · (855) 241-7160 |
| NPI enumerated | August 17, 2012 |
| Last updated in NPPES | August 17, 2012 |
| Mailing address | 900 Ne 18th Ave Apt 1207, Fort Lauderdale, FL 33304-3054 |
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