# NURTURED MOONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053178855
- **Authorized official:** SHATARA VEREEN CCHW, CD, CHC (OWNER)
- **Authorized official phone:** (352) 209-5126

## Contact information

- **Practice address:** 1111 NE 25TH AVE STE 403, OCALA, FL 34470-5668
- **Practice address phone:** (352) 462-1126
- **Mailing address:** 8316 SW 136TH ST, OCALA, FL 34473-6836
- **Mailing address phone:** (352) 209-5126

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |

## Other

- **Enumeration date:** 02/28/2024
- **Last updated:** 02/28/2024