Individual
SUMMER MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
401 RIDLEY AVE, LAGRANGE, GA 30240-2267
(706) 756-1970
Mailing address
121 CRESTVIEW RD, WEST POINT, GA 31833-5221
(706) 585-0204
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC014910
GA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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