Organization
MOONLIT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY GOODE LCPC (OWNER)
(410) 206-1243
Entity
Organization
Contact information
Practice address
6568 PENNACOOK CT, COLUMBIA, MD 21045-4516
(410) 206-1243
Mailing address
6568 PENNACOOK CT, COLUMBIA, MD 21045-4516
(410) 206-1243
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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