Moonflower Therapy Services LLC

Organization Active NPI Professional Counselor · Waterville, OH

NPI 1922767490 · NPPES record last updated Dec 13, 2021

Key facts

NPI
1922767490
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
Legal business name
MOONFLOWER THERAPY SERVICES LLC
Practice address
218 Mechanic St
Waterville, OH 43566-1438
Phone
(567) 801-6279
NPI assigned
Dec 13, 2021
Organization subpart
No

Authorized official

Name
Mrs. Amanda L Stilwell, LPCC
Title
Owner
Phone
(567) 801-6279

Practitioners 1

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

National Provider Directory

Locations

218 Mechanic St
Waterville, OH 43566
Phone (567) 801-6279

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YP2500X Yes

Addresses

Primary practice location

218 Mechanic St
Waterville, OH 43566-1438

Mailing address

277 Margaret PL
Perrysburg, OH 43551-1724
Phone (330) 419-0518

Other providers in Waterville, OH

All providers in Waterville, OH · Professional Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.