Moonlight Healing and Wellness Center Incorporated

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MOONLIGHT HEALING AND WELLNESS CENTER INCORPORATED

Practice address

5767 Vienna Dr
Westerville, OH 43081-4060

Phone

(614) 695-2602

NPI assigned

May 18, 2026

Organization subpart

No

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

Authorized official

Name

Liban BuleNPI 1982239398

Title

Executive Director

Phone

(614) 695-2602

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.

• Liban A. Bule

  • Case Manager/Care Coordinator
  • Columbus, OH
  • NPI 1982239398
  NPD Authorized official

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1649109505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 VIENNA DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814060",
            "telephone_number": "614-695-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5767 VIENNA DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814060",
            "telephone_number": "614-695-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOONLIGHT HEALING AND WELLNESS CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-17",
        "status": "A",
        "authorized_official_last_name": "BULE",
        "authorized_official_first_name": "LIBAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-695-2602"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackrit Mongkollugsana, DDS
• Melanie Spicola Monkman
• Lynn A Monstwil, D.D.S.
• Efrain Montero Nieves
• Dana M Moody, IMFT
• Aimee M Moore, LPCC
• Alex Moore
• Erin Jeanine Moore, L.I.S.W.
• Jodi Kristine Moore
• Melanie R Moore, APRN

• Mental Health Counselor in Westerville, OH
• Providers in Westerville, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.