Moon River Evolution, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MOON RIVER EVOLUTION, LLC

Practice address

3840 Ridgeway Dr
Birmingham, AL 35209-5506

Phone

(205) 410-5610

NPI assigned

Aug 5, 2026

Last updated

Aug 5, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patty Cusick, M.ED, LPC

Title

Mental Health Counselor

Phone

(205) 410-5610

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1215851019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W TROY ST STE B",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363034455",
            "telephone_number": "205-410-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 RIDGEWAY DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095506",
            "telephone_number": "205-410-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON RIVER EVOLUTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "CUSICK",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "205-410-5610",
        "authorized_official_credential": "M.ED, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Lorena Montoya Melo, M.D.
• Christopher A Monty, M.D.
• Jessica Amanda Monty, CRNP
• Leashia Moody-Miller, L.P.C.
• Alyssa Moody, RBT
• Alicia Lakeshia Moon, NP
• Melissa Ann Moon, MS, CCC-A
• Natalie Moon
• Ronald Tai Young Moon, D.O.
• Amy Elizabeth Mooney, LCSW

• Mental Health Counselor in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.