Home Body Holistic Studio LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HOME BODY HOLISTIC STUDIO LLC

Practice address

19 E Mountain St Ste 33
Fayetteville, AR 72701-6067

Phone

(479) 530-6678

NPI assigned

Jul 13, 2024

Organization subpart

No

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

Authorized official

Name

Bobbi Moon, LCSWNPI 1346727799

Title

Licensed Clinical Social Worker

Phone

(620) 778-0513

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.

• Bobbi L Moon, LMSW

  • Clinical Social Worker
  • Fayetteville, AR
  • NPI 1346727799
  NPD Authorized official

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1750128948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E MOUNTAIN ST STE 33",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016067",
            "telephone_number": "479-530-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MOUNTAIN ST STE 33",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016067",
            "telephone_number": "479-530-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME BODY HOLISTIC STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "620-778-0513",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Leanne Holt, DIETITIAN
• Olivia Holt, LCSW
• Tonya Holt
• Diana Holte, APRN
• Daniel Gene Holtz, DNAP, CRNA
• Homefront Air & Medical Supplies Inc
• Sheri Homishak, O.D., BCBA
• Teri Lynn Honeysuckle, MS, LAC
• Jaclyn Renee Hood
• Jennifer Mackie Perry Hood, DO

• Clinical Social Worker in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.