Organization
THERAPY BY MOONLIGHT, INC.; IMARI CHILDS, LCSW
Active
Other names
Therapy By Moonlight, Therapy By Moonlight, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
IMARI CHILDS LCSW (CEO)
(415) 637-0232
Entity
Organization
Contact information
Practice address
4058 ORANGE AVE, LONG BEACH, CA 90807-3717
(310) 362-4047
Mailing address
6078 KINGWOOD CIR APT 76, ROCKLIN, CA 95677-3473
(415) 637-0232
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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