# CRESCENT MOON COUNSELING, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1801241245
- **Authorized official:** KELLY R HERWIG LISW-CP (OWNER)
- **Authorized official phone:** (803) 760-4738

## Contact information

- **Practice address:** 1705 RICHLAND ST, COLUMBIA, SC 29201-2635
- **Practice address phone:** (803) 760-4738
- **Mailing address:** 1705 RICHLAND ST, COLUMBIA, SC 29201-2635
- **Mailing address phone:** (803) 760-4738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 9781 | SC | Yes |

## Other

- **Enumeration date:** 05/03/2016
- **Last updated:** 01/03/2018