THERAPY BY MOONLIGHT INC.; IMARI CHILDS LCSW NPI 1780345348

NPI Information

NPI: 1780345348
Provider Name: THERAPY BY MOONLIGHT, INC.; IMARI CHILDS, LCSW
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4058 ORANGE AVE
LONG BEACH, CA
ZIP 90807
Phone: (310) 362-4047
Get Directions

THERAPY BY MOONLIGHT, INC.; IMARI CHILDS, LCSW is a multi-specialty clinic center in Long Beach, CA. THERAPY BY MOONLIGHT, INC.; IMARI CHILDS, LCSW NPI is 1780345348. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4058 ORANGE AVE
LONG BEACH, CA
ZIP 90807-717
Phone: (310) 362-4047

The provider's authorized official is Imari Childs .
The authorized official title is Ceo and has the following contact phone number (415) 637-0232.

The enumeration date for this NPI number is 1/6/2022 and was last updated on 1/6/2022.

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	Primary
1	101YP2500X	Counselor	Professional	No
2	106H00000X	Marriage & Family Therapist		No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM1300X	Clinic/Center	Multi-Specialty	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: 4/28/2024

NPI Synchronization or Removal

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