Organization · Type 2 NPI

Moonlight Mental Health

Mental Health Counselor · Benton, AR

NPI number 1780276451 Active

Practice location

211 S Main
Benton, AR 72015-4331

Fax (501) 214-6867

Mailing address

208 E Richardson Place Dr
Bryant, AR 72022-3246

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780276451

Moonlight Mental Health's National Provider Identifier is 1780276451, issued on Feb 4, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Benton, AR. The record was last updated on Feb 4, 2021.