Crescent Moon Awakening

LBN: Crescent Moon Awakening
Crescent Moon Awakening is an health care organization with primary practice located at 307 James Cir , Russellville AR 72801-5829. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Crescent Moon Awakening can be contacted via phone (479) 219-7299, or through Moon, Hazel via phone (479) 219-7299.

Contact Information

Primary practice address
307 James Cir Russellville AR 72801-5829
Phone: (479) 219-7299
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moon, Hazel MS, LPC
Phone: (479) 219-7299

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1154160364
LBN Legal business name Crescent Moon Awakening
DBA Doing business as
Authorized official Moon, Hazel MS, LPC
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2024
Last updated May 20th, 2024 - about 6 months 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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