Provider Demographics
NPI:1376241646
Name:BEY-MOON, CHELSEA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:BEY-MOON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:BEY-MOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:175 PARK PLACE DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-7693
Mailing Address - Country:US
Mailing Address - Phone:919-434-6346
Mailing Address - Fax:
Practice Address - Street 1:175 PARK PLACE DR
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7693
Practice Address - Country:US
Practice Address - Phone:919-434-6346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0181311041C0700X
FLISW156861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLISW15686OtherDEPARTMENT OF HEALTH