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FULL MOON PSYCHIATRIC, LLC
NPI 1255908026
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Active since June 09, 2021
5810 SHELBY OAKS DR STE B, MEMPHIS, TN 38134(931) 371-7125 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2021, Jun 9, 2021 (2 updates tracked since 2021).

About Full Moon Psychiatric, Llc NPPES

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

FULL MOON PSYCHIATRIC, LLC (NPI 1255908026) is a healthcare organization registered as a psychiatric/mental health in Memphis, Tennessee and active in the NPI registry since June 2021. The organization lists Alecia White, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1255908026
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFULL MOON PSYCHIATRIC, LLC
Location Address5810 SHELBY OAKS DR STE BMemphis, TN 38134-7315
Mailing Address2033 Fort Campbell Blvd, Ste A Pmb 1071Clarksville, TN 37042
Phone(931) 371-7125
Organization SubpartNo
Authorized OfficialAlecia WhiteOwner/operator · (931) 371-7125
Enumeration DateJune 9, 2021
Last NPPES UpdateJune 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1255908026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
5810 SHELBY OAKS DR STE B, Memphis, TN 38134
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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 15

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

PRIORITIZE YOU , LLC
Community/Behavioral Health
5810 SHELBY OAKS DR STE B
MEMPHIS, TN 38134
Shelby County (125) 665-2767
DR. ADRIANA DANIELLE SMITH DNP
Nurse Practitioner (Psychiatric/Mental Health)
5810 SHELBY OAKS DR STE B
MEMPHIS, TN 38134
Shelby County (415) 651-3458
FULL SPECTRUM ABA OF TENNESSEE LLC
Behavior Analyst
5810 SHELBY OAKS DR STE B
MEMPHIS, TN 38134
Shelby County (813) 926-5454
MONTERA HEALTH TENNESSEE LLC
Behavior Analyst
5810 SHELBY OAKS DR STE B
MEMPHIS, TN 38134
Shelby County (865) 680-1516
DR. RENA H ISEN PSY.D.
Psychologist
5810 SHELBY OAKS DR STE B
MEMPHIS, TN 38134
Shelby County (615) 640-0981
ENVISION THERAPY SOLUTIONS, LLC
Community/Behavioral Health
5810 SHELBY OAKS DR STE B
MEMPHIS, TN 38134
Shelby County (931) 321-1097
RYAN PATRICK CROWLEY MA, LMFT
Marriage & Family Therapist
5810 SHELBY OAKS DR STE B
MEMPHIS, TN 38134
Shelby County (504) 920-5738
HARDY HEARTS TRANSPORT SERVICES
Private Vehicle
5810 SHELBY OAKS DR STE B
MEMPHIS, TN 38134
Shelby County (615) 345-6368

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 Full Moon Psychiatric, LLC's NPI number?

The NPI number for Full Moon Psychiatric, LLC is 1255908026. It was assigned to this organization in the NPPES registry on June 9, 2021.

Where is Full Moon Psychiatric, LLC located?

Full Moon Psychiatric, LLC is located at 5810 Shelby Oaks Dr Ste B, Memphis, TN 38134. The listed phone number is (931) 371-7125.

What is Full Moon Psychiatric, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Full Moon Psychiatric, LLC was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.