Therapy By Moonlight, Inc.; Imari Childs, Lcsw
LBN: Therapy By Moonlight, Inc.; Imari Childs, Lcsw
Therapy By Moonlight, Inc.; Imari Childs, Lcsw is an health care organization with primary practice located at 4058 Orange Ave , Long Beach CA 90807-3717. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Therapy By Moonlight, Inc.; Imari Childs, Lcsw can be contacted via phone (310) 362-4047, or through Childs, Imari via phone (415) 637-0232.
Contact Information
Primary practice address
4058 Orange Ave
Long Beach CA 90807-3717
Phone: (310) 362-4047
Fax:
Website:
Authorized official contact:
Name: Childs, Imari Licensed Clinical Social Worker (LCSW)
Phone: (415) 637-0232
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
NPI number | 1780345348 |
---|---|
LBN Legal business name | Therapy By Moonlight, Inc.; Imari Childs, Lcsw |
DBA Doing business as | |
Authorized official | Childs, Imari Licensed Clinical Social Worker (LCSW) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 6th, 2022 |
Last updated | Jan 6th, 2022 - 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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