Organization · Type 2 NPI

Therapy By Moonlight, Inc.; Imari Childs, LCSW

Multi-Specialty Clinic/Center · Long Beach, CA

NPI number 1780345348 Active

Practice location

4058 Orange Ave
Long Beach, CA 90807-3717

Call (310) 362-4047 Map

Mailing address

6078 Kingwood Cir Apt 76
Rocklin, CA 95677-3473

Other practice locations

  • 3685 Motor Ave Ste 220, Los Angeles, CA 90034-5746 · (310) 362-4047

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Marriage & Family Therapist 106H00000XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

5 other providers at this address

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About NPI 1780345348

Therapy By Moonlight, Inc.; Imari Childs, LCSW's National Provider Identifier is 1780345348, issued on Jan 6, 2022. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Long Beach, CA. The record was last updated on Jan 6, 2022.