Moonshot Therapy & Wellness Llc is a
Speech-language Pathologist based in Esmont, Virginia. Moonshot Therapy & Wellness Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
5880 Secretarys Sand Rd, Esmont, Virginia. It can be reached at their office (for appointments etc.) via phone at
(325) 518-3702.
NPI number for Moonshot Therapy & Wellness Llc is 1700541604 and their current mailing address is 5880 Secretarys Sand Rd, Esmont, Virginia. Moonshot Therapy & Wellness Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700541604.
Healthcare Provider's Profile
| Full Name | Moonshot Therapy & Wellness Llc |
|---|
| Type | Facility |
|---|
| Speciality | Speech-language Pathologist |
|---|
| Location | 5880 Secretarys Sand Rd, Esmont, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700541604
- Provider Enumeration Date: 11/04/2021
- Last Update Date: 07/15/2024
Medical Identifiers
Medical identifiers for Moonshot Therapy & Wellness Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1700541604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Moonshot Therapy & Wellness Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Moonshot Therapy & Wellness Llc 5880 Secretarys Sand Rd, Esmont, VA 22937-1510 Ph: (325) 518-3702 | Moonshot Therapy & Wellness Llc 5880 Secretarys Sand Rd, Esmont, VA 22937-1510 Ph: (325) 518-3702 |
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