Moon Wellness Space

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MOON WELLNESS SPACE

Practice address

1500 Hadley St
Houston, TX 77002-8943

Phone

(713) 322-7005

NPI assigned

Dec 20, 2024

Organization subpart

No

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

Authorized official

Name

Brittany BoudreauxNPI 1982386264

Title

Counselor

Phone

(713) 322-7005

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brittany Diane Boudreaux, MS, NCC

  • Professional Counselor
  • Pearland, TX
  • NPI 1982386264
  NPD Authorized official

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738368000000",
    "number": "1285442384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1683",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772511683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HADLEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770028943",
            "telephone_number": "713-322-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOON WELLNESS SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "713-322-7005"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shade' Bethena Moody, MD
• Lisa Mook, R.D.L.D.
• Yasmin Moolani, M.D.
• James Moomaw, LMFT
• Moon Lily Therapy PPLC
• Alex Moon, PTA
• Amber Jisoo Moon
• Brittany Guajardo Moon, AU.D
• Caitlin Moon
• Helen Susan Stevens Moon, RP

• Community/Behavioral Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.