Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Moonlight Psychotherapy and Psychological Services, LLC

Organization Clinical Psychologist · NPI 1972075661

Moonlight Psychotherapy and Psychological Services, LLC is a Clinical Psychologist in LA Crosse, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
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

205 5th Ave S Ste 428
LA Crosse, WI 54601-4059
Phone: (207) 317-0557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1972075661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Green — Owner / Psychologist · (207) 317-0557
NPI enumeratedDecember 19, 2018
Last updated in NPPESDecember 19, 2018
Mailing address1718 Sunset Dr, La Crosse, WI 54601-7030

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