CRESCENT MOON PSYCHOTHERAPY, LLC

FORT MILL, SC
NPI1386214245
Entity TypeOrganization
Authorized ContactLUANNE IMHOLT
Sole Owner
313-509-7699
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2021-07-01
Last Update Date2021-07-01
Business Address
CRESCENT MOON PSYCHOTHERAPY, LLC
2021 BRIDGEMILL DR
FORT MILL, SC 29707-9210
Phone number: 313-509-7699
Mailing Address
CRESCENT MOON PSYCHOTHERAPY, LLC
1249 ASHLEY CREEK DR
MATTHEWS, NC 28105-2442
Phone number: 803-422-3779
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