Moonflower Therapy Services LLC

NPI #1922767490 in Waterville, Ohio

Provider Information

NPI Number: 1922767490
Entity Type: Organization
Organization Name: Moonflower Therapy Services LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Dec 13, 2021
Last Updated: Dec 13, 2021

Practice Location

Address: 218 MECHANIC ST
City: Waterville
State: Ohio
ZIP Code: 43566-1438
Phone: (567) 801-6279

Authorized Official

Name: MRS. AMANDA L STILWELL, LPCC
Title: OWNER
Phone: (567) 801-6279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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