MEDICARE: LUNAR RHYTHM THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1902771967
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUNAR RHYTHM THERAPY, PLLC

Provider Business Mailing Address
First Line	:	3229 W GRACE ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-1306
Country	:	US
Telephone Number	:	917-696-2513
Fax Number	:

Provider Business Practice Location Address
First Line	:	3229 W GRACE ST
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-1306
Country	:	US
Telephone Number	:	917-696-2513
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NORA WEISER
Credential	:	LICSW, LCSW, MSW
Telephone Number	:	917-696-2513

Provider Enumeration Date	:	10/09/2025
Last Update Date	:	10/09/2025

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