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

Moonlit Mental Health LLC

Organization Family Nurse Practitioner · NPI 1114863081

Moonlit Mental Health LLC is a Family Nurse Practitioner in Broken Arrow, Oklahoma. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
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

2249 W Washington St
Broken Arrow, OK 74012-6703
Phone: (918) 280-9679
Fax: (949) 988-2941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1114863081
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Woody — Pmhnp-Bc · (918) 960-5335
NPI enumeratedApril 24, 2026
Last updated in NPPESMay 31, 2026
Certification dateMay 31, 2026
Mailing address2249 W Washington St, Broken Arrow, OK 74012-6703

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