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MOONRISE MENTAL HEALTH PLLC
NPI 1720580053
Nurse Practitioner - Psychiatric/Mental Health in Nacogdoches, TX

Active since March 02, 2018
3516 NE STALLINGS DR, NACOGDOCHES, TX 75965(936) 564-9785(936) 564-4136 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moonrise Mental Health Pllc NPPES

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

MOONRISE MENTAL HEALTH PLLC (NPI 1720580053) is a healthcare organization registered as a psychiatric/mental health in Nacogdoches, Texas and active in the NPI registry since March 2018. The organization lists Sherry Van Meter, Owner, as its authorized official.

NPPES Registry Identity

NPI1720580053
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMOONRISE MENTAL HEALTH PLLC
Location Address3516 NE STALLINGS DRNacogdoches, TX 75965-8732
Mailing Address734 County Road 411Gary, TX 75643-5435
Phone(936) 564-9785
Fax(936) 564-4136
Organization SubpartNo
Authorized OfficialSherry Van MeterOwner · (903) 918-2123
Enumeration DateMarch 2, 2018
✔ NPI 1720580053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · AP111655
3516 NE STALLINGS DR, Nacogdoches, TX 75965
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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 4

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

MR. CHERYL BUSBICE WILSON L.C.S.W.
Social Worker (Clinical)
3516 NE STALLINGS DR
NACOGDOCHES, TX 75965
Nacogdoches County (936) 569-6562
MR. JERRY CLYDE WILSON M.S., L.P.C.
Counselor (Mental Health)
3516 NE STALLINGS DR
NACOGDOCHES, TX 75965
Nacogdoches County (936) 569-6562
DR. SYLVIA MIDDLEBROOK PH.D.
Psychologist
3516 NE STALLINGS DR
NACOGDOCHES, TX 75965
Nacogdoches County (936) 560-0818
MR. SHYAM A VYAS MD
Psychiatry & Neurology (Psychiatry)
3516 NE STALLINGS DR
NACOGDOCHES, TX 75965
Nacogdoches County (936) 560-0818

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 Moonrise Mental Health PLLC's NPI number?

The NPI number for Moonrise Mental Health PLLC is 1720580053. It was assigned to this organization in the NPPES registry on March 2, 2018.

Where is Moonrise Mental Health PLLC located?

Moonrise Mental Health PLLC is located at 3516 NE Stallings Dr, Nacogdoches, TX 75965. The listed phone number is (936) 564-9785.

What is Moonrise Mental Health PLLC'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 Moonrise Mental Health PLLC was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.