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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.

NPI # 1093597619
LBN Legal business name BEAUTIFUL MOON HEALTH & WELLNESS, LTD.
Authorized official JAVONNI HENDERSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2023
Last updated 12/15/2023 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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