Organization
LITTLE MOON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH N SKOW LPC (PRACTICE OWNER)
(848) 248-7282
Entity
Organization
Contact information
Practice address
200 WHITE RD STE 208, LITTLE SILVER, NJ 07739-1162
(848) 248-7282
(732) 842-1794
Mailing address
200 WHITE RD STE 208, LITTLE SILVER, NJ 07739-1162
(848) 248-7282
(732) 842-1794
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/05/2021
Last updated
05/06/2021
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