MEDICARE: VIOLET HOUR 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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1093665317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIOLET HOUR THERAPY PLLC

Provider Business Mailing Address
First Line	:	2352 W SHAKESPEARE AVE UNIT 4A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-6464
Country	:	US
Telephone Number	:	267-373-8725
Fax Number	:

Provider Business Practice Location Address
First Line	:	2352 W SHAKESPEARE AVE UNIT 4A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-6464
Country	:	US
Telephone Number	:	267-373-8725
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	KARI VIOLET MOYER
Credential	:	LCPC
Telephone Number	:	267-373-8725

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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