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

Moonshine Ridge Psychology

Organization Clinical Psychologist · NPI 1659204469

Moonshine Ridge Psychology is a Clinical Psychologist in Collins, Missouri. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

7840 SE 701 Rd
Collins, MO 64738-7129
Phone: (620) 423-5060
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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 number1659204469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanesa Hill — Owner · (620) 423-5060
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address3915 Lloyd St, Kansas City, KS 66103-2828

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