Summer Moon, LPC

Counselor · Lagrange, GA

Individual Active NPI

NPI number 1144182650

Practice location

401 Ridley Ave
Lagrange, GA 30240-2267
Phone
(706) 756-1970

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NPI record

NPI
1144182650
Entity type
Individual (Type 1)
Enumeration date
December 2, 2025
Last updated
December 2, 2025
Certified
December 2, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X LPC014910 GA

Mailing address

121 Crestview Rd
West Point, GA 31833-5221
Phone
(706) 585-0204

About Summer Moon

Summer Moon, LPC is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 401 Ridley Ave, Lagrange, GA 30240-2267. The NPI number 1144182650 was assigned on December 2, 2025 and the record was last updated on December 2, 2025.

Summer Moon lists a license in the registry: #LPC014910 (GA) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Summer Moon, LPC?

The NPI number is 1144182650.

What is the phone number of Summer Moon?

The phone number listed for the practice location is (706) 756-1970.

Where is Summer Moon located?

401 Ridley Ave, Lagrange, GA 30240-2267.

What is the taxonomy code for Summer Moon?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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