Organization · Type 2 NPI
Moon Petal Grove Counseling PLLC
Mental Health Counselor · Fayetteville, NC
NPI number
1407755903
Active
Practice location
730 Villagio Pl
Fayetteville, NC 28303-4285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1407755903
Moon Petal Grove Counseling PLLC's National Provider Identifier is 1407755903, issued on Nov 2, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fayetteville, NC. The record was last updated on Nov 2, 2026.