# SUN & MOON ACUPUNCTURE AND WELLNESS, PLLC

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

## Provider details

- **NPI number:** 1164013439
- **Authorized official:** MELANIE RICHARDSON-SEVERO LAC, RN (PRESIDENT/CEO)
- **Authorized official phone:** (718) 219-6053

## Contact information

- **Practice address:** 21 CARMICHAEL ST STE 101, ESSEX JUNCTION, VT 05452-3186
- **Practice address phone:** (802) 662-1066
- **Practice address fax:** (802) 347-2095
- **Mailing address:** 4 PEARL ST APT 301, ESSEX JUNCTION, VT 05452-4097
- **Mailing address phone:** (718) 219-6053
- **Mailing address fax:** (802) 347-2095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2021
- **Last updated:** 01/29/2021