| Crescent Moon Behavioral Health, Llc | |
|
2300 Main St Ste 900 Kansas City MO 64108-2408 | |
| (816) 769-4486 | |
| Not Available |
| Full Name | Crescent Moon Behavioral Health, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2300 Main St Ste 900, Kansas City, Missouri |
| Authorized Official Name and Position | Camilla Hendren (CEO) |
| Authorized Official Contact | 8167694486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Moon Behavioral Health, Llc 5643 Locust St Kansas City MO 64110-2735 Ph: (816) 769-4486 | Crescent Moon Behavioral Health, Llc 2300 Main St Ste 900 Kansas City MO 64108-2408 Ph: (816) 769-4486 |
| NPI Number | 1235946799 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235946799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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