Organization
MOONRISE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN BACHMANN MSW, LISW-S (CLINICAL THERAPIST AND OWNER)
(419) 704-1000
Entity
Organization
Contact information
Practice address
4430 N HOLLAND SYLVANIA RD APT 3113, TOLEDO, OH 43623-3549
(419) 704-1000
Mailing address
4430 N HOLLAND SYLVANIA RD APT 3113, TOLEDO, OH 43623-3549
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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