Blue Moon Senior Counseling

LBN: Blue Moon Senior Counseling
Blue Moon Senior Counseling is an health care organization with primary practice located at 10204 Bode St Ste B , Plainfield IL 60585-9813. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Blue Moon Senior Counseling 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 Licensed Clinical Social Worker (LCSW)
Phone: (702) 403-0438

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8327 Florida

Profile Details

NPI number 1205129186
LBN Legal business name Blue Moon Senior Counseling
DBA Doing business as
Authorized official Donohue, Melanie Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2011
Last updated May 18th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205129186 NPPES
Florida Other FL606A MEDICARE PTAN

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