1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Counselor
  6. NPI Profile

PURPLE MOON SERVICE CENTER, LLC
NPI 1194450676
Counselor - Mental Health in Jacksonville, FL

Active since July 19, 2022
931 CASSAT AVE, JACKSONVILLE, FL 32205(904) 233-1019(904) 369-4666 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Purple Moon Service Center, Llc NPPES

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

PURPLE MOON SERVICE CENTER, LLC (NPI 1194450676), doing business as Purple Moon Service Center,llc, is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since July 2022. The organization lists Valjeanne R Caster, Counselor -owner, as its authorized official.

NPPES Registry Identity

NPI1194450676
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePURPLE MOON SERVICE CENTER, LLC
Location Address931 CASSAT AVEJacksonville, FL 32205-4857
Mailing Address931 Cassat AveJacksonville, FL 32205-4857 · (904) 233-1019
Phone(904) 233-1019
Fax(904) 369-4666
Organization SubpartNo
Authorized OfficialValjeanne R CasterCounselor -owner · (904) 233-1019
Enumeration DateJuly 19, 2022
NPPES CertifiedJuly 19, 2022
✔ NPI 1194450676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
931 CASSAT AVE, Jacksonville, FL 32205
Open in Google Maps ↗

Other Names 1

Doing Business AsPurple Moon Service Center,llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

LYNDA SMITH WALLS PH.D.
Psychologist (Clinical)
931 CASSAT AVE
JACKSONVILLE, FL 32205
Duval County (904) 388-2828
MRS. SHERRI LORRAINE MEDIOUS-JORDAN
Counselor (Mental Health)
931 CASSAT AVE
JACKSONVILLE, FL 32205
Duval County (904) 207-1990
LYNDA S. WALLS, PH.D., INC.
Psychologist
931 CASSAT AVE
JACKSONVILLE, FL 32205
Duval County (904) 388-2828
MS. VALJEANNE ROSS CASTER LMHC. MAC, MBA
Counselor (Mental Health)
931 CASSAT AVE
JACKSONVILLE, FL 32205
Duval County (904) 233-1019

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 Purple Moon Service Center, LLC's NPI number?

The NPI number for Purple Moon Service Center, LLC is 1194450676. It was assigned to this organization in the NPPES registry on July 19, 2022. The provider is doing business as Purple Moon Service Center,LLC.

Where is Purple Moon Service Center, LLC located?

Purple Moon Service Center, LLC is located at 931 Cassat Ave, Jacksonville, FL 32205. The listed phone number is (904) 233-1019.

What is Purple Moon Service Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Purple Moon Service Center, LLC was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.