Organization
CRESCENT MOON COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL BRYAN MELHORN LCSW (OWNER/THERAPIST)
(917) 617-0475
Entity
Organization
Contact information
Practice address
8016 BURRUNDIE DR, RICHMOND, VA 23225-1972
(917) 617-0475
Mailing address
8016 BURRUNDIE DR, RICHMOND, VA 23225-1972
(917) 617-0475
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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