MOONRISE COUNSELING LLC NPI 1215877683

NPI Information

  • NPI: 1215877683
  • Provider Name: MOONRISE COUNSELING LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 4430 N HOLLAND SYLVANIA RD APT 3113
    TOLEDO, OH
    ZIP 43623
  • Phone: (419) 704-1000

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NPI Details

MOONRISE COUNSELING LLC is a mental health (including community mental health center) clinic center in Toledo, OH. MOONRISE COUNSELING LLC NPI is 1215877683. The provider is registered as an organization entity type.

The provider's business location address is:

4430 N HOLLAND SYLVANIA RD APT 3113
TOLEDO, OH
ZIP 43623-549
Phone: (419) 704-1000

The provider's authorized official is Kaitlyn Bachmann .
The authorized official title is Clinical Therapist And Owner and has the following contact phone number (419) 704-1000.

The enumeration date for this NPI number is 3/28/2026 and was last updated on 3/28/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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