# MOONBEAM COUNSELING LLC

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

## Provider details

- **NPI number:** 1336903988
- **Authorized official:** ISABELLE SCHNELLE LCSW (SOCIAL WORK)
- **Authorized official phone:** (616) 901-2749

## Contact information

- **Practice address:** 1032 LITHIA WAY, TALENT, OR 97540-7846
- **Practice address phone:** (616) 901-2749
- **Mailing address:** 1032 LITHIA WAY, TALENT, OR 97540-7846
- **Mailing address phone:** (616) 901-2749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2024
- **Last updated:** 02/13/2024