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

Crescent Moon Psychotherapy, LLC

Organization Community/Behavioral Health Agency · NPI 1386214245

Crescent Moon Psychotherapy, LLC is a Community/Behavioral Health Agency in Fort Mill, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2021 Bridgemill Dr
Fort Mill, SC 29707-9210
Phone: (313) 509-7699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1386214245
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luanne Imholt — Sole Owner · (313) 509-7699
NPI enumeratedJuly 1, 2021
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021
Mailing address1249 Ashley Creek Dr, Matthews, NC 28105-2442

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