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General NPI Number Information
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NPI Number | 1780409607
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Entity Type | Organization
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Legal Business Name | NEW MOON PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 770 WATER ST STE 457
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City | BILOXI
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State | MS
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Zip | 39530-4220
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Country | US
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Telephone | 828-484-1801
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Fax | 877-349-6373
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Provider Business Mailing Address
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Address Line | 770 WATER ST STE 457
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City | BILOXI
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State | MS
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Zip | 39530-4220
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Country | US
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Telephone | 828-484-1801
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Fax | 877-349-6373
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. HALEY MOON
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Credential | PMHNP-BC
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Telephone | 828-484-1801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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