Moonlight Mental Health

NPI #1780276451 in Benton, Arkansas

Provider Information

NPI Number: 1780276451
Entity Type: Organization
Organization Name: Moonlight Mental Health
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 4, 2021
Last Updated: Feb 4, 2021

Practice Location

Address: 211 S MAIN
City: Benton
State: Arkansas
ZIP Code: 72015-4331
Phone: (662) 727-1053

Authorized Official

Name: LAUREN JOHNSON, LPC-S
Title: OWNER
Phone: (501) 278-1736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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