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CRESCENT MOON COUNSELING INC. NPI 1740519875


NPI Information

NPI: 1740519875
Provider Name: CRESCENT MOON COUNSELING, INC.

Former Legal Business Name: SANDI GRAY-TERRRY, MSW, LCSW

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
221 ORANGE ST
HENDERSON, NC
ZIP 27536
Phone: (252) 431-0075
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CRESCENT MOON COUNSELING, INC. is a clinical social worker in Henderson, NC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. CRESCENT MOON COUNSELING, INC. NPI is 1740519875. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sandi Gray-terrry, Msw, Lcsw.

The provider's business location address is:

221 ORANGE ST
HENDERSON, NC
ZIP 27536-234
Phone: (252) 431-0075

The provider's authorized official is Sandi Gray-terry .
The authorized official title is Owner and has the following contact phone number (252) 431-0075.

The enumeration date for this NPI number is 12/21/2009 and was last updated on 12/21/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinicalC002534NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
136593OTHERNORTH CAROLINABCBS-NC
26003804MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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