Crescent Moon Therapy, Pllc
LBN: Crescent Moon Therapy, Pllc
Crescent Moon Therapy, Pllc is an health care organization with primary practice located at 1580 N Northwest Hwy Ste 116 , Park Ridge IL 60068-1470. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty.
Crescent Moon Therapy, Pllc can be contacted via phone (847) 975-5128, or through Defilippis, Stephanie via phone (847) 975-5128.
Contact Information
Primary practice address
1580 N Northwest Hwy Ste 116
Park Ridge IL 60068-1470
Phone: (847) 975-5128
Fax:
Website:
Authorized official contact:
Name: Defilippis, Stephanie Licensed Clinical Social Worker (LCSW)
Phone: (847) 975-5128
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1013663996 |
|---|---|
| LBN Legal business name | Crescent Moon Therapy, Pllc |
| DBA Doing business as | |
| Authorized official | Defilippis, Stephanie Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2022 |
| Last updated | Nov 4th, 2025 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013663996 | NPPES |
| Illinois | MEDICAID | 1205416328 |
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