Half Moon Mental Health and Wellness, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HALF MOON MENTAL HEALTH AND WELLNESS, PLLC

Practice address

128 E Hargett St Ste 309
Raleigh, NC 27601-1460

Phone

(919) 617-1001

NPI assigned

Aug 23, 2022

Organization subpart

No

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

Authorized official

Name

Brianna Hicks, LCMHCNPI 1891176608

Title

Owner, Psychotherapist

Phone

(919) 617-1001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brianna Hicks, LCMHC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1891176608
  NPD Authorized official

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1295454437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HARGETT ST UNIT 632",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276013022",
            "telephone_number": "860-377-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E HARGETT ST STE 309",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011460",
            "telephone_number": "919-617-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALF MOON MENTAL HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-617-1001",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Klein Hale, LPC, RPT
• Jillian Rau Hale, DO
• Kaytlin Hales, ATC
• Lannie Hales, ATC
• Shavonna Haley, LCMHCA
• Halikierra Community Services LLC
• Alisa Hall
• Alyssa Hall, LSW
• Amanda Sue Hall, LCSW-A
• Anginette Hall

• Mental Health Clinic/Center (Including Community Mental Health Center) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.