| Moon Wellness Group, Pllc | |
|
2385 S Huron Pkwy Ste 2n Ann Arbor MI 48104-5127 | |
| (734) 681-0830 | |
| Not Available |
| Full Name | Moon Wellness Group, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2385 S Huron Pkwy Ste 2n, Ann Arbor, Michigan |
| Authorized Official Name and Position | Miea Moon (PHD) |
| Authorized Official Contact | 7346810830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Wellness Group, Pllc 3240 Old Hickory Pl Ann Arbor MI 48104-5279 Ph: (734) 707-3770 | Moon Wellness Group, Pllc 2385 S Huron Pkwy Ste 2n Ann Arbor MI 48104-5127 Ph: (734) 681-0830 |
| NPI Number | 1811563604 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 06/02/2021 |
| Certification Date | 06/01/2021 |
| Medicare PECOS PAC ID | 1456756980 |
|---|---|
| Medicare Enrollment ID | O20210823000935 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811563604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Miea Moon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538671250 PECOS PAC ID: 8921330903 Enrollment ID: I20191023003404 |
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