Provider Demographics
NPI:1245915776
Name:MOONSEED LLC
Entity type:Organization
Organization Name:MOONSEED LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:MORGAN-STERENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, CLINICAL
Authorized Official - Phone:313-327-2303
Mailing Address - Street 1:9859 W OUTER DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48223-1734
Mailing Address - Country:US
Mailing Address - Phone:313-327-2303
Mailing Address - Fax:
Practice Address - Street 1:26711 WOODWARD AVE STE 302
Practice Address - Street 2:
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1369
Practice Address - Country:US
Practice Address - Phone:313-327-2303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty