Healthcare Provider Details

I. General information

NPI: 1609794080
Provider Name (Legal Business Name): SILVER MOON COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 SE FLORENCE DR UNIT 10
WAUKEE IA
50263-8323
US

IV. Provider business mailing address

1320 SE FLORENCE DR UNIT 10
WAUKEE IA
50263-8323
US

V. Phone/Fax

Practice location:
  • Phone: 641-529-2919
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KAYLEE CRANSTON
Title or Position: MANAGING MEMBER
Credential: LISW
Phone: 641-529-2919