Crescent Moon Therapy, Llc

LBN: Crescent Moon Therapy, Llc
Crescent Moon Therapy, Llc is an health care organization with primary practice located at 1123 Fortuna Ave , Park Ridge IL 60068-1956. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Crescent Moon Therapy, Llc can be contacted via phone (847) 975-5128, or through Defilippis, Stephanie via phone (847) 975-5128.

Contact Information

Primary practice address
1123 Fortuna Ave Park Ridge IL 60068-1956
Phone: (847) 975-5128
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Defilippis, Stephanie Licensed Clinical Social Worker (LCSW)
Phone: (847) 975-5128

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1013663996
LBN Legal business name Crescent Moon Therapy, Llc
DBA Doing business as
Authorized official Defilippis, Stephanie Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2022
Last updated Feb 6th, 2023 - about last year

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 1013663996 NPPES
Illinois MEDICAID 1205416328

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