Healthcare Provider Details

I. General information

NPI: 1619810041
Provider Name (Legal Business Name): FLOWER MOON PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 FOXTRAIL DR OFFICE 213
LOVELAND CO
80538-9086
US

IV. Provider business mailing address

1635 FOXTRAIL DR
LOVELAND CO
80538-9086
US

V. Phone/Fax

Practice location:
  • Phone: 970-541-1375
  • Fax:
Mailing address:
  • Phone: 970-541-1375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE LOIS MOSES
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 432-638-7262