| Blue Moon Therapy & Consulting, Llc | |
|
23121 Rutt Rd Milford DE 19963-4806 | |
| (703) 313-0040 | |
| Not Available |
| Full Name | Blue Moon Therapy & Consulting, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 23121 Rutt Rd, Milford, Delaware |
| Authorized Official Name and Position | Teresa Jeanne Lear Doyle (SOLE MEMBER) |
| Authorized Official Contact | 7033130040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Moon Therapy & Consulting, Llc 19213 Cavendish Way Lewes DE 19958-4968 Ph: (703) 313-0040 | Blue Moon Therapy & Consulting, Llc 23121 Rutt Rd Milford DE 19963-4806 Ph: (703) 313-0040 |
| NPI Number | 1497544241 |
|---|---|
| Provider Enumeration Date | 05/06/2025 |
| Last Update Date | 05/06/2025 |
| Certification Date | 05/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497544241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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