| Crescent Moon Counseling, Inc. | |
|
221 Orange St Henderson NC 27536-4234 | |
| (252) 431-0075 | |
| Not Available |
| Full Name | Crescent Moon Counseling, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 221 Orange St, Henderson, North Carolina |
| Authorized Official Name and Position | Sandi Gray-terry (OWNER) |
| Authorized Official Contact | 2524310075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Moon Counseling, Inc. 1410 N Mangum St Durham NC 27701-1311 Ph: (252) 431-0075 | Crescent Moon Counseling, Inc. 221 Orange St Henderson NC 27536-4234 Ph: (252) 431-0075 |
| NPI Number | 1740519875 |
|---|---|
| Provider Enumeration Date | 12/21/2009 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740519875 | NPI | - | NPPES |
| 36593 | Other | NC | BCBS-NC |
| 6003804 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C002534 (North Carolina) | Primary |
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