Crescent Moon Psychotherapy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CRESCENT MOON PSYCHOTHERAPY, LLC

Practice address

2021 Bridgemill Dr
Fort Mill, SC 29707-9210

Phone

(313) 509-7699

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Luanne Imholt, LISW-CPNPI 1093234049

Title

Sole Owner

Phone

(313) 509-7699

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, and the practitioner matching its NPPES authorized official.

• Luanne Brigman Imholt, MSW

  • Clinical Social Worker
  • Matthews, NC
  • NPI 1093234049
  NPD Authorized official

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1386214245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 ASHLEY CREEK DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052442",
            "telephone_number": "803-422-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 BRIDGEMILL DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297079210",
            "telephone_number": "313-509-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MOON PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "IMHOLT",
        "authorized_official_first_name": "LUANNE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "313-509-7699",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime L Coxon, R.D.,L.D.
• Shannon Coyle
• Joyce Hood Crawford
• Creative Flame Counseling LLC
• Sarah Creel, CF-SLP
• Terry L. Crimm, D.MIN.; LMFT; LPC
• Curtis Criswell, DC
• Jason D Criswell, RN
• Morgan Leigh Crosier, LCSW
• Crown Plaza Chiropractic, LLC

• Community/Behavioral Health Agency in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.