Organization
LIZ MOON LLC
Active
Other names
Liz Moon Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH MOON LPC (CLINICAL DIRECTOR)
(404) 200-8907
Entity
Organization
Contact information
Practice address
6736 BILL CARRUTH PKWY APT 901, HIRAM, GA 30141-3794
(678) 829-2466
Mailing address
3446 PARSONS GREENE CT, POWDER SPRINGS, GA 30127-4428
(404) 200-8907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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