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Contact Information

BEAUTIFUL MOON HEALTH & WELLNESS, LTD.
19590 E MAINSTREET STE 202
PARKER, CO80138-7371
 Phone: 720-544-3801
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mechanotherapist

172M00000X
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for BEAUTIFUL MOON HEALTH WELLNESS LTD · (Female)

NPI # 1093597619
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2023
Last updated 12/15/2023 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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