Organization
MOONSHINE RIDGE PSYCHOLOGY
Active
Organization
MOONSHINE RIDGE PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANESA HILL PSYD (OWNER)
(620) 423-5060
Entity
Organization
Contact information
Practice address
7840 SE 701 RD, COLLINS, MO 64738-7129
(620) 423-5060
Mailing address
3915 LLOYD ST, KANSAS CITY, KS 66103-2828
(620) 423-5060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/03/2026
Last updated
06/18/2026
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