New Moon Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW11441 Issued in FL

Legal business name

NEW MOON SERVICES

Practice address

3825 Henderson Blvd
Suite 405
Tampa, FL 33629-5037

Phone

(727) 452-9527

Fax

(813) 489-8924

NPI assigned

Nov 9, 2013

Organization subpart

No

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

Authorized official

Name

Cynthia Wright, LCSW

Title

Owner

Phone

(727) 452-9527

Specialties & licenses 1

Addresses

Other names 1

• Seaside Counseling Group Doing business as

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

{
    "created_epoch": "1383955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383955200000",
    "number": "1760811723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13936 106TH AVE",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337744543",
            "telephone_number": "727-452-9527",
            "fax_number": "813-489-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD",
            "address_2": "SUITE 405",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295037",
            "telephone_number": "727-452-9527",
            "fax_number": "813-489-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MOON SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-09",
        "last_updated": "2013-11-09",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-452-9527",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW11441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seaside Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New Life Myofascial Release, LLC
• New Life Obstetrical Care Inc
• New Life Psychology and Coaching LLC
• New Life Rehab Center LLC
• New Lung Associates PA
• New Port Richey Hospital Inc
• New Regeneration Orthopedics of Florida, PLLC.
• New Tampa Assisted Living Community, LLC
• New Tampa Behavioral Health, Inc.
• New Tampa Counseling and Mediation, Inc.

• Community/Behavioral Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2013; 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.