Blue Moon Of Colorado Llc

LBN: Blue Moon Of Colorado Llc
Blue Moon Of Colorado Llc is an health care organization with primary practice located at 10204 Bode St Ste B , Plainfield IL 60585-9813. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Blue Moon Of Colorado Llc can be contacted via phone (855) 241-7160, or through Donohue, Melanie via phone (702) 403-0438.

Contact Information

Primary practice address
10204 Bode St Ste B Plainfield IL 60585-9813
Phone: (855) 241-7160
Fax: (954) 324-8354
Website:
Map and Directions
Authorized official contact:
Name: Donohue, Melanie
Phone: (702) 403-0438

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1629593967
LBN Legal business name Blue Moon Of Colorado Llc
DBA Doing business as
Authorized official Donohue, Melanie
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2017
Last updated Sep 20th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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