Organization
BLUE MOON BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA PARSONS (ADMINISTRATION)
(606) 922-4644
Entity
Organization
Contact information
Practice address
6870 KY-899, PIPPA PASSES, KY 41844
(606) 922-4644
Mailing address
PO BOX 280, PEWEE VALLEY, KY 40056-0280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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