MEDICARE: MOONFLOWER & MORNING GLORY, INC

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	103T00000X	Psychologist	PY8414	FL

General Provider Information

NPI Number	:	1124422647
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOONFLOWER & MORNING GLORY, INC

Provider Business Mailing Address
First Line	:	1609 N FEDERAL HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6644
Country	:	US
Telephone Number	:	561-582-3459
Fax Number	:

Provider Business Practice Location Address
First Line	:	1609 N FEDERAL HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-6644
Country	:	US
Telephone Number	:	561-582-3459
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUE BABCOCK
Credential	:	PSY.D.
Telephone Number	:	651-295-8333

Provider Enumeration Date	:	10/13/2014
Last Update Date	:	11/17/2014

Similar Medicare Providers

1598733115 — MS. ELISE B MCGARVA OTR L
Practice Location Address:

1609 N FEDERAL HWY
LAKE WORTH, FL
33460-6644

Practice Phone: 561-702-7884
Practice Fax: 561-629-9356

1255348009 — THOMAS JAMES PIRKLE DDS
Practice Location Address:

1601 N FEDERAL HWY
LAKE WORTH, FL
33460-6644

Practice Phone: 561-582-5322
Practice Fax: 561-582-8295

1942744404 — BEST HAND THERAPY AND PHYSICAL REHABILITATION
Practice Location Address:

1609 N FEDERAL HWY
LAKE WORTH, FL
33460-6644

Practice Phone: 561-702-7884
Practice Fax: 561-629-9356

1538781117 — NELLE TECHNOLOGY SERVIVES, INC.
Practice Location Address:

6644 MARBLETREE LN
LAKE WORTH, FL
33467-7234

Practice Phone: 561-351-4606
Practice Fax:

1669896437 — QURESHI MHT LLC
Practice Location Address:

1025 WORTHINGTON
LAKE CHARLES, LA
70605-6644

Practice Phone: 855-860-2109
Practice Fax:

1285495192 — MS. NADEGE GUILLAUME LPN
Practice Location Address:

6644 EMERALD LAKE DR
MIRAMAR, FL
33023-4916

Practice Phone: 954-292-9529
Practice Fax: 954-919-9051

Directions to “MOONFLOWER & MORNING GLORY, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.