MOON WELLNESS SPACE
NPI 1285442384
Community/Behavioral Health in Houston, TX

Active since December 20, 2024
1500 HADLEY ST, HOUSTON, TX 77002(713) 322-7005 Get Directions Write a Review

NPPES record last updated: February 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About MOON WELLNESS SPACE

This page provides the complete NPI Profile along with additional information for Moon Wellness Space, a provider established in Houston, Texas operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1285442384 assigned on December 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Brittany Boudreaux (Counselor)

NPI
1285442384 Verify this NPI
Provider Name
MOON WELLNESS SPACE
Entity Type
Organization
Location Address
1500 HADLEY ST HOUSTON, TX 77002
Location Phone
(713) 322-7005
Mailing Address
PO BOX 1683 HOUSTON, TX 77251
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2024
Last Update Date
02-01-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRITTANY BOUDREAUX

Authorized Official Title
COUNSELOR
Authorized Official Phone
(713) 322-7005

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285442384, enumerated as an "organization" on December 20, 2024.

The provider is located at 1500 HADLEY ST HOUSTON, TX 77002 and the phone number is (713) 322-7005.

Community/Behavioral Health with taxonomy code 251S00000X.