Organization · Type 2 NPI

Blue Moon Senior Counseling, Llc.

Community/Behavioral Health Agency · Fort Lauderdale, FL

NPI number 1245588441 Active

Practice location

900 NE 18th Ave Apt 1207
Fort Lauderdale, FL 33304-3054

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	SW10454 (FL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1245588441

Blue Moon Senior Counseling, Llc.'s National Provider Identifier is 1245588441, issued on Aug 17, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Aug 17, 2012.