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

Moontower Wellness, LLC

Organization Psychiatry Physician · NPI 1295092252

Moontower Wellness, LLC is a Psychiatry Physician in Broomfield, Colorado. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2012
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

11705 Airport Way Ste 205
Broomfield, CO 80021-2710
Phone: (512) 522-7708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1154 Lydia St Ste 110, Austin, TX 78702-2619 — (512) 522-7708

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence N6094 (TX)

Record details

NPI number1295092252
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Weatherby — Member/Manager · (512) 522-7708
Other names Moontower Mental Wellness, Pllc
NPI enumeratedApril 16, 2012
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address11705 Airport Way Ste 205, Broomfield, CO 80021-2710

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