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

Moon River Evolution, LLC

Organization Mental Health Counselor · NPI 1215851019

Moon River Evolution, LLC is a Mental Health Counselor in Birmingham, Alabama. Registered with an NPI since 2026.

In the registry since
2026
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

3840 Ridgeway Dr
Birmingham, AL 35209-5506
Phone: (205) 410-5610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1215851019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patty Cusick — Mental Health Counselor · (205) 410-5610
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address212 W Troy St Ste B, Dothan, AL 36303-4455

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