MOONLIGHT TRAUMA AND COUNSELING CENTER PLLC
NPI 1740134485
Social Worker - Clinical in Champaign, IL
About Moonlight Trauma And Counseling Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOONLIGHT TRAUMA AND COUNSELING CENTER PLLC (NPI 1740134485) is a healthcare organization registered as a clinical in Champaign, Illinois and active in the NPI registry since February 2026. The organization lists Deidre Dame, Lcsw, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Moonlight Trauma And Counseling Center PLLC's NPI number?
The NPI number for Moonlight Trauma And Counseling Center PLLC is 1740134485. It was assigned to this organization in the NPPES registry on February 20, 2026.
Where is Moonlight Trauma And Counseling Center PLLC located?
Moonlight Trauma And Counseling Center PLLC is located at 3125 Village Office Pl, Champaign, IL 61822. The listed phone number is (217) 419-1878.
What is Moonlight Trauma And Counseling Center PLLC's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Moonlight Trauma And Counseling Center PLLC was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.