1. Home
  2. Directory
  3. Alabama
  4. Birmingham
  5. Counselor
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MOON RIVER EVOLUTION, LLC
NPI 1215851019
Counselor - Mental Health in Birmingham, AL

Active since August 05, 2026
3840 RIDGEWAY DR, BIRMINGHAM, AL 35209(205) 410-5610 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Moon River Evolution, Llc NPPES

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

MOON RIVER EVOLUTION, LLC (NPI 1215851019) is a healthcare organization registered as a mental health in Birmingham, Alabama and active in the NPI registry since August 2026. The organization lists Patty Cusick, Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1215851019
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMOON RIVER EVOLUTION, LLC
Location Address3840 RIDGEWAY DRBirmingham, AL 35209-5506
Mailing Address212 W Troy St Ste BDothan, AL 36303-4455 · (205) 410-5610
Phone(205) 410-5610
Organization SubpartNo
Authorized OfficialPatty CusickMental Health Counselor · (205) 410-5610
Enumeration DateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1215851019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3840 RIDGEWAY DR, Birmingham, AL 35209
Open in Google Maps ↗

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

JESSICA ATA CCC-SLP
Speech-Language Pathologist
3840 RIDGEWAY DR
BIRMINGHAM, AL 35209
Jefferson County (205) 206-9860
AXIA BEHAVIORAL GROUP, LLC
Psychologist
3840 RIDGEWAY DR
HOMEWOOD, AL 35209
Jefferson County (205) 913-7910
CLAIRE TYNES MS, CCC-SLP, CALT
Speech-Language Pathologist
3840 RIDGEWAY DR
BIRMINGHAM, AL 35209
Jefferson County (205) 206-9860
LIORA COUNSELING SERVICES, LLC
Counselor (Mental Health)
3840 RIDGEWAY DR
BIRMINGHAM, AL 35209
Jefferson County (205) 687-0572
JUDITH HORNSBY CAPPS M.C.D, CCC-SLP
Speech-Language Pathologist
3840 RIDGEWAY DR
BIRMINGHAM, AL 35209
Jefferson County (205) 206-9860

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 Moon River Evolution, LLC's NPI number?

The NPI number for Moon River Evolution, LLC is 1215851019. It was assigned to this organization in the NPPES registry on August 5, 2026.

Where is Moon River Evolution, LLC located?

Moon River Evolution, LLC is located at 3840 Ridgeway Dr, Birmingham, AL 35209. The listed phone number is (205) 410-5610.

What is Moon River Evolution, 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 Moon River Evolution, LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.