Organization
MOONLIGHT COUNSELING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA PETERSON (OWNER)
(614) 636-1413
Entity
Organization
Contact information
Practice address
150 E WILSON BRIDGE RD STE 220, WORTHINGTON, OH 43085-6302
(614) 636-1413
Mailing address
41 N COLUMBUS ST, SUNBURY, OH 43074-9221
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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