BEAUTIFUL MOON HEALTH & WELLNESS, LTD. - NPI 1093597619

Q: What is Beautiful Moon Health & Wellness, Ltd.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

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About Beautiful Moon Health & Wellness, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEAUTIFUL MOON HEALTH & WELLNESS, LTD. (NPI 1093597619) is a healthcare organization registered as a clinical in Parker, Colorado and active in the NPI registry since October 2023. The organization lists Javonni Henderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1093597619

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameBEAUTIFUL MOON HEALTH & WELLNESS, LTD.

Location Address19590 E MAINSTREET STE 202Parker, CO 80138-7371

Mailing Address18121 E Hampden Ave Ste C1079Aurora, CO 80013-3590 · (720) 544-3801

Phone(720) 544-3801

Organization SubpartNo

Authorized OfficialJavonni HendersonOwner · (510) 256-9794

Enumeration DateOctober 18, 2023

Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1093597619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X

Also ListedMechanotherapistTaxonomy 172M00000X

19590 E MAINSTREET STE 202, Parker, CO 80138

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRYSTAL ANN GALLOWAY MA, LPCC

Counselor (Mental Health)