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NPI Code Detail

MEDICARE: LUNA: A THERAPY COLLECTIVE, LLC

MEDICARE: LUNA: A THERAPY COLLECTIVE, LLC
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
1101YM0800XMental Health Counselor
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1033088778
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUNA: A THERAPY COLLECTIVE, LLC
Provider Business Mailing Address
First Line : PO BOX 13
Second Line :
City : SOUTH HEIGHTS
State : PA
Zip : 15081-0013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2285 BRODHEAD RD
Second Line :
City : ALIQUIPPA
State : PA
Zip : 15001-4674
Country : US
Telephone Number : 724-495-9689
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JODIE MCGOVERN
Credential : LPC
Telephone Number : 724-495-9689
Provider Enumeration Date : 10/31/2025
Last Update Date : 10/31/2025

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Directions to “LUNA: A THERAPY COLLECTIVE, LLC ” Practice Location

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