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CRESCENT MOON PSYCHOTHERAPY, LLC
NPI 1386214245
Community/Behavioral Health in Fort Mill, SC

Active since July 01, 2021
2021 BRIDGEMILL DR, FORT MILL, SC 29707(313) 509-7699 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crescent Moon Psychotherapy, Llc NPPES

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

CRESCENT MOON PSYCHOTHERAPY, LLC (NPI 1386214245) is a healthcare organization registered as a community/behavioral health in Fort Mill, South Carolina and active in the NPI registry since July 2021. The organization lists Luanne Imholt, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1386214245
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCRESCENT MOON PSYCHOTHERAPY, LLC
Location Address2021 BRIDGEMILL DRFort Mill, SC 29707-9210
Mailing Address1249 Ashley Creek DrMatthews, NC 28105-2442 · (803) 422-3779
Phone(313) 509-7699
Organization SubpartNo
Authorized OfficialLuanne ImholtSole Owner · (313) 509-7699
Enumeration DateJuly 1, 2021
NPPES CertifiedJuly 1, 2021
✔ NPI 1386214245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
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.
2021 BRIDGEMILL DR, Fort Mill, SC 29707
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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.

BRIAN KEITH SUTTON
Physical Therapist
2021 BRIDGEMILL DR, STE 106
INDIAN LAND, SC 29707
Lancaster County (803) 298-8995
CRYSTAL ANTREASE MAXWELL MD
Family Medicine
2021 BRIDGEMILL DR, SUITE 102
FORT MILL, SC 29707
Lancaster County (704) 594-1140
KERRY PATTERSON BRIONES MD
Internal Medicine
2021 BRIDGEMILL DR
INDIAN LAND, SC 29707
Lancaster County (803) 286-1814
MRS. JENNIFER FUNDERBURK SMALL FNP-C
Nurse Practitioner (Family)
2021 BRIDGEMILL DR
INDIAN LAND, SC 29707
Lancaster County (803) 416-5410

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 Crescent Moon Psychotherapy, LLC's NPI number?

The NPI number for Crescent Moon Psychotherapy, LLC is 1386214245. It was assigned to this organization in the NPPES registry on July 1, 2021.

Where is Crescent Moon Psychotherapy, LLC located?

Crescent Moon Psychotherapy, LLC is located at 2021 Bridgemill Dr, Fort Mill, SC 29707. The listed phone number is (313) 509-7699.

What is Crescent Moon Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Crescent Moon Psychotherapy, LLC was last updated on July 1, 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.