NPI Registry.org

Crescent Moon Therapy, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
CRESCENT MOON THERAPY, LLC10136639962022-03-01

The organization Crescent Moon Therapy, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1013663996. Registration indicates Crescent Moon Therapy, Llc is a provider of services with a specialization in Agencies, Community/Behavioral Health (Community/Behavioral Health, ) (Community Mental Health Center, ) (Community/Behavioral Health, Agencies)

Entity TypeOrganization
Provider OrganizationCRESCENT MOON THERAPY, LLC
Practice Office Address1123 FORTUNA AVE
PARK RIDGE, IL US
Practice Office Telephone8479755128
Mailing Address1325 ELIZABETH LN
GLENVIEW, IL 600253156 US
Business Telephone8479755128
Authorized OfficialSTEPHANIE DEFILIPPIS, LICENSED CLINIC
8479755128
Offices / Locations
AddressCity / StatePhone / Fax
1325 Elizabeth Ln Glenview, IL 600253156 8479755128
HPT Codes
CodePractice
License No
State
251S00000X PRIMARY
Agencies
Community/Behavioral Health
Community/Behavioral Health

Community Mental Health Center

Community/Behavioral Health
Agencies
OPI Codes
1205416328 MEDICAID IL
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