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NEW MOON ECOTHERAPY PLLC
NPI 1124890165
Clinic/Center - Adult Mental Health in Seattle, WA

Active since October 24, 2023
4501 15TH AVE S STE 102, SEATTLE, WA 98108(206) 552-8857 Get Directions Write a Review

NPPES record last updated: October 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About New Moon Ecotherapy Pllc NPPES

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

NEW MOON ECOTHERAPY PLLC (NPI 1124890165) is a healthcare organization registered as an adult mental health in Seattle, Washington and active in the NPI registry since October 2023. The organization lists Ari Bonagofski, Owner, as its authorized official.

NPPES Registry Identity

NPI1124890165
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameNEW MOON ECOTHERAPY PLLC
Location Address4501 15TH AVE S STE 102Seattle, WA 98108-1874
Mailing Address4501 15th Ave S Ste 102Seattle, WA 98108-1874 · (206) 552-8857
Phone(206) 552-8857
Organization SubpartNo
Authorized OfficialAri BonagofskiOwner · (206) 552-8857
Enumeration DateOctober 24, 2023
NPPES CertifiedOctober 24, 2023
✔ NPI 1124890165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4501 15TH AVE S STE 102, Seattle, WA 98108
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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.

SIX NUTRITION AND DIABETES LLC
Dietitian, Registered
4501 15TH AVE S STE 102
SEATTLE, WA 98108
King County (805) 455-5712
KALEIGH PETTIS LMFT
Marriage & Family Therapist
4501 15TH AVE S STE 102
SEATTLE, WA 98108
King County (951) 522-0730
LAURA HARRISON MARQUEZ
Social Worker (Clinical)
4501 15TH AVE S STE 102
SEATTLE, WA 98108
King County (206) 963-0496
IAN MEARNS EDD, MSW, MA, LICSWA
Counselor (Mental Health)
4501 15TH AVE S STE 102
SEATTLE, WA 98108
King County (425) 491-6650
KEHLI-ANNE RAE LESOURD LMFT, LMHC
Marriage & Family Therapist
4501 15TH AVE S STE 102
SEATTLE, WA 98108
King County (775) 842-1065
ARI CARRY ANN BONAGOFSKI
Marriage & Family Therapist
4501 15TH AVE S STE 102
SEATTLE, WA 98108
King County (206) 552-8857
VICTORIA YOUNG
Social Worker (Clinical)
4501 15TH AVE S STE 102
SEATTLE, WA 98108
King County (206) 580-3772
BRAIN AND MEMORY HEALTH GROUP PLLC
Psychiatry & Neurology (Geriatric Psychiatry)
4501 15TH AVE S STE 102
SEATTLE, WA 98108
King County (425) 494-3554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Moon Ecotherapy PLLC's NPI number?

The NPI number for New Moon Ecotherapy PLLC is 1124890165. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is New Moon Ecotherapy PLLC located?

New Moon Ecotherapy PLLC is located at 4501 15th Ave S Ste 102, Seattle, WA 98108. The listed phone number is (206) 552-8857.

What is New Moon Ecotherapy PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for New Moon Ecotherapy PLLC was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.