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Therapy By Moonlight, Inc.; Imari Childs, Lcsw
Multi-Specialty Clinic/Center in Long Beach, California
NPI 1780345348

Therapy By Moonlight, Inc.; Imari Childs, Lcsw is a Multi-Specialty Clinic/Center based in Rocklin, CA and is specialized in Multi-Specialty. Therapy By Moonlight, Inc.; Imari Childs, Lcsw practices in Long Beach, CA. The NPI Number for Therapy By Moonlight, Inc.; Imari Childs, Lcsw is 1780345348 and holds a License No. (California).

The current practice location address for Therapy By Moonlight, Inc.; Imari Childs, Lcsw is 4058 Orange Ave, Long Beach, CA and can be reached out via phone at 310-362-4047.

Location: 4058 Orange Ave, Long Beach, CA, 95677-3473
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780345348
Provider Name
Therapy By Moonlight, Inc.; Imari Childs, Lcsw
Credential
Provider Entity Type
Organization
Address
4058 Orange Ave, Long Beach, CA, 95677-3473
Phone Number
310-362-4047
Fax Number
Provider Enumeration Date
01/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4058 Orange Ave
City
Long Beach
State
California
Zip
90807-3717
Phone Number
310-362-4047
Fax Number
person
Provider Business Mailing Address Details
Address
4058 Orange Ave
City
Long Beach
State
California
Zip
90807-3717
Phone Number
310-362-4047
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
()
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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