SHOOT FOR THE MOON COUNSELING LLC (NPI# 1912411158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912411158 |
| Entity Type | Organization |
| Organization Name | SHOOT FOR THE MOON COUNSELING LLC |
| Practice Address |
342 Greenbriar Dr Unit 3 Union NJ 07083-8769 |
| Practice Telephone | 9084486370 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Authorized Official Name | HEATHER HANLEY (LICENSE PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 9084486370 |
| Authorized Official Credential | LPC, NCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
37PC00587100 | NJ | Ambulatory Health Care Facilities |
| Street Address |
342 GREENBRIAR DR UNIT 3 |
| City | UNION |
| State | NJ |
| Zip Code | 07083-8769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750893772 | Heather Hanley | Counselor | 342 Greenbriar Dr Unit 3, Union, NJ 07083-8769 | 2017-10-31 |
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| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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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.