Organization
NEW MOON MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE BARNES (OWNER)
(208) 716-6445
Entity
Organization
Contact information
Practice address
1970 E 17TH ST STE 111B, IDAHO FALLS, ID 83404-8046
(208) 541-5257
(208) 742-2695
Mailing address
1970 E 17TH ST STE 111B, IDAHO FALLS, ID 83404-8046
(208) 541-5257
(208) 742-2695
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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