Organization
NEW MOON SERVICES
Active
Other names
Seaside Counseling Group
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WRIGHT LCSW (OWNER)
(727) 452-9527
Entity
Organization
Contact information
Practice address
3825 HENDERSON BLVD, SUITE 405, TAMPA, FL 33629-5037
(727) 452-9527
(813) 489-8924
Mailing address
13936 106TH AVE, LARGO, FL 33774-4543
(727) 452-9527
(813) 489-8924
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW11441
FL
Other
Enumeration date
11/09/2013
Last updated
11/09/2013
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