Blue Moon Therapy, Pllc

NPI #1972255560 in Katy, Texas

Provider Information

NPI Number: 1972255560
Entity Type: Organization
Organization Name: Blue Moon Therapy, Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 25, 2022
Last Updated: Oct 2, 2024

Practice Location

Address: 23144 CINCO RANCH BLVD # B-1105
City: Katy
State: Texas
ZIP Code: 77494-2894
Phone: (832) 535-2616

Authorized Official

Name: ANGELA BAILEY, LCSW
Title: THERAPIST
Phone: (832) 600-2493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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