| Moon Mama Therapy Pllc | |
|
18204 A St S Spanaway WA 98387-8327 | |
| (360) 545-3458 | |
| Not Available |
| Full Name | Moon Mama Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 18204 A St S, Spanaway, Washington |
| Authorized Official Name and Position | Ashley Martinez (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 3605453458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Mama Therapy Pllc 18204 A St S Spanaway WA 98387-8327 Ph: (360) 545-3458 | Moon Mama Therapy Pllc 18204 A St S Spanaway WA 98387-8327 Ph: (360) 545-3458 |
| NPI Number | 1083561161 |
|---|---|
| Provider Enumeration Date | 03/16/2026 |
| Last Update Date | 03/16/2026 |
| Certification Date | 03/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083561161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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