Amber Moon Wellness, PLLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Portsmouth, New Hampshire
1689329112- Practice location
- 426 State St, Portsmouth, NH 03801-4049
- Phone
- 707-654-4325
- Fax
- 630-883-0690
- Last updated
- February 14, 2022
Amber Moon Wellness, PLLC is a healthcare organization based in Portsmouth, NH. Amber Moon Wellness, PLLC practices in Portsmouth, NH. The NPI Number for Amber Moon Wellness, PLLC is 1689329112. The current practice location address for Amber Moon Wellness, PLLC is 426 State St, Portsmouth, NH 03801-4049 and can be reached out via phone at 707-654-4325 and via fax at 630-883-0690.
Provider Profile Details
- NPI Number
- 1689329112
- Provider Name
- Amber Moon Wellness, PLLC
- Provider Entity Type
- Organization
- Address
- 426 State St, Portsmouth, NH 03801-4049
- Phone Number
- 707-654-4325
- Fax Number
- 630-883-0690
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Mrs. Kathleen Amanda Waleryszak, LICSW · Owner · 707-654-4325
- Provider Enumeration Date
- February 14, 2022
- Last Update Date
- February 14, 2022
- Certification Date
- February 14, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 426 State St
Portsmouth, NH 03801-4049 - City
- Portsmouth
- State
- New Hampshire
- Zip
- 03801-4049
- Phone Number
- 707-654-4325
- Fax Number
- 630-883-0690
Provider Business Mailing Address Details
- Address
- 8A Ridgewood Dr
Kittery, ME 03904-1046 - City
- Kittery
- State
- ME
- Zip
- 03904-1046
- Phone Number
- 207-337-0456
- Fax Number
- 630-883-0690
License Information
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Amber Moon Wellness, PLLC?
The NPI number of Amber Moon Wellness, PLLC is 1689329112. It was assigned on February 14, 2022 and is currently active in the NPPES registry.
What is the specialty of Amber Moon Wellness, PLLC?
Amber Moon Wellness, PLLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Amber Moon Wellness, PLLC practice?
The practice location is 426 State St, Portsmouth, NH 03801-4049. The office can be reached at 707-654-4325 (phone) or 630-883-0690 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689329112 directly on the NPPES registry website.