| Moonstone Mental Health, Llc | |
|
5745 E Old Farm Cir Colorado Springs CO 80917-1141 | |
| (719) 659-5329 | |
| Not Available |
| Full Name | Moonstone Mental Health, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5745 E Old Farm Cir, Colorado Springs, Colorado |
| Authorized Official Name and Position | Anthony Daemke (OWNER) |
| Authorized Official Contact | 7196595329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonstone Mental Health, Llc 5745 E Old Farm Cir Colorado Springs CO 80917-1141 Ph: (719) 659-5329 | Moonstone Mental Health, Llc 5745 E Old Farm Cir Colorado Springs CO 80917-1141 Ph: (719) 659-5329 |
| NPI Number | 1073389771 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073389771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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