# MOONFLOWER COUNSELING LLC

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

## Provider details

- **NPI number:** 1790541233
- **Authorized official:** SARAH YZKANIN LMFT (MARRIAGE & FAMILY THERAPIST)
- **Authorized official phone:** (802) 625-6586

## Contact information

- **Practice address:** 145 PINE HAVEN SHORES RD STE 1000A, SHELBURNE, VT 05482-7812
- **Practice address phone:** (802) 625-6586
- **Mailing address:** 145 PINE HAVEN SHORES RD STE 1000A, SHELBURNE, VT 05482-7812
- **Mailing address phone:** (802) 625-6586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2024
- **Last updated:** 02/22/2024
