WILLOW MOON HEALING, LLC (NPI# 1427353457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427353457 |
| Entity Type | Organization |
| Organization Name | WILLOW MOON HEALING, LLC |
| Practice Address |
9300 Forest Point Cir Suite 162 Manassas VA 20110-4765 |
| Mailing Address |
1028 Harper Valley Rd Luray VA 22835-9416 |
| Practice Telephone | 5716060026 |
| Mailing Telephone | 5716060026 |
| Enumeration Date | 2011-01-23 |
| Last Update Date | 2014-04-13 |
| Authorized Official Name | MICHELLE LEVESQUE (PRESIDENT) |
| Authorized Official Telephone | 5716060026 |
| Authorized Official Credential | CMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0019008764 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9300 FOREST POINT CIR SUITE 162 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356421820 | Philip Cerrato | Social Worker | 9300 Forest Point Cir, Manassas, VA 20110-4765 | 2006-10-17 |
| 1033771753 | Gpc Therapy Associates, LLC | Social Worker | 9300 Forest Point Cir, Manassas, VA 20110-4765 | 2019-07-02 |
| 1407308836 | Abiding Hope Counseling Services | Community/Behavioral Health | 9300 Forest Point Cir, Ste 115, Manassas, VA 20110-4765 | 2016-11-02 |
| 1144678442 | Kristi Madison | Counselor | 9300 Forest Point Cir, Manassas, VA 20110-4765 | 2016-05-26 |
| 1255706032 | Jammeh Saidy | Licensed Practical Nurse | 9300 Forest Point Cir, Manassas, VA 20110-4765 | 2015-12-05 |
| 1093134421 | Michelle Levesque | Massage Therapist | 9300 Forest Point Cir, Suite 162, Manassas, VA 20110-4765 | 2014-04-14 |
| 1518304427 | Stephen Robert Band | Counselor | 9300 Forest Point Cir, Suite 160, Manassas, VA 20110-4765 | 2013-05-31 |
| 1225475130 | Behavioral Intelligence Specialists, LLC | Marriage & Family Therapist | 9300 Forest Point Cir, Suite 160, Manassas, VA 20110-4765 | 2013-05-31 |
| 1700168226 | Calberry Resources, LLC | Community/Behavioral Health | 9300 Forest Point Cir, Suite 119, Manassas, VA 20110-4765 | 2011-09-10 |
| 1861798985 | Global Interventions, LLC | Community/Behavioral Health | 9300 Forest Point Cir, Suite 119, Manassas, VA 20110-4765 | 2011-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826506 | Diane Nguyen | Massage Therapist | 9340 China Grove Ct, Manassas, VA 20110-8913 | 2020-09-21 |
| 1972961514 | Patricia Sheffield | Massage Therapist | 8987 Westchester Dr, Manassas, VA 20112-4503 | 2016-02-09 |
| 1306137757 | Victoria Johnson | Massage Therapist | 8238 Ramseur Pl, Manassas, VA 20109-1905 | 2011-04-20 |
| 1093134421 | Michelle Levesque | Massage Therapist | 9300 Forest Point Cir, Suite 162, Manassas, VA 20110-4765 | 2014-04-14 |
| 1912249848 | Marlo Marie Maurice-milburn | Massage Therapist | 9384 Forestwood Ln, Suite D, Manassas, VA 20110-4747 | 2013-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588405 | Gisele Ortiz | Massage Therapist | 1132 E Market St, Charlottesville, VA 22902-5351 | 2020-11-08 |
| 1275134017 | Kendall Burton | Massage Therapist | 4310 Grantlake Rd, Richmond, VA 23234-3649 | 2020-11-06 |
| 1174124952 | Timothy Joel Stansfield | Massage Therapist | 43845 Thornberry Sq Unit 403, Leesburg, VA 20176-3402 | 2020-11-06 |
| 1265033211 | Kati Lambert | Massage Therapist | 100 Bridge St Ste D, Hampton, VA 23669-4067 | 2020-11-05 |
| 1871192542 | Samuel Wood | Massage Therapist | 10169 Niccole Ln, Mechanicsville, VA 23116-4719 | 2020-10-22 |
| 1073111431 | Erik Larson | Massage Therapist | 624 1/2 Charlotte St, Fredericksburg, VA 22401-5704 | 2020-10-16 |
| 1629676531 | Dana Carlton | Massage Therapist | 1340 N Great Neck Rd # 1272263, Virginia Beach, VA 23454-2268 | 2020-10-13 |
| 1609474717 | Tashana Latrice Trotter | Massage Therapist | 1816 Volvo Pkwy, Chesapeake, VA 23320-8122 | 2020-10-12 |
| 1942808118 | Renee Anderson | Massage Therapist | 14701 River Walk Way Apt 216, Woodbridge, VA 22191-5961 | 2020-10-11 |
| 1902404205 | Akeem M Hutcherson | Massage Therapist | 406 W Franklin St, Richmond, VA 23220-4906 | 2020-10-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.