Moon River, Llc

Psychologist


  
790 Oak Trail Dr, Marietta
Georgia, 30062-7502

 770-977-6866     770-977-6887Maps & Directions
Moon River, Llc is a Psychologist Clinic in Marietta, Georgia. It is situated at 790 Oak Trail Dr, Marietta and its contact number is 770-977-6866. The authorized person of Moon River, Llc is Laura Desantis who is Office Manager of the clinic and their contact number is 770-212-2170.
Moon River, Llc Clinic A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Physical Therapy treatments have been proved effective in many problems, such as continuous back pain, neck pain, headache, digestive problems, balance difficulties, whiplash and other collision injuries, occupational and sports injuries. Some of the other diseases in which physio treatment is helpful are Sciatica, Scoliosis, Fibromyalgia, TMJ disorders etc.
Complete Clinic Profile:
Moon River, Llc Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Specialization: Psychologist
Clinic Address:790 Oak Trail Dr, Marietta,
Georgia, 30062-7502
Phone:770-977-6866
Fax:770-977-6887
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name: Laura Desantis
Position: Office Manager
Contact Number: 770-212-2170
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Moon River, Llc Clinic are as mentioned below.
NPI Number: 1730143553
NPI Enumeration Date: 17 Apr, 2006
NPI Last Update On: 18 Feb, 2025

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Moon River, Llc are as mentioned below.
SpecializationLicense NumberStateStatus
Behavior Analyst Primary
Psychologist Secondary
Physical Therapist PT003833GeorgiaSecondary
Pediatrics OT 004293GeorgiaSecondary
Pediatrics GAOT001717GeorgiaSecondary
Speech-language Pathologist SLP003992GeorgiaSecondary
Speech-language Pathologist SLP005806GeorgiaSecondary
Speech-language Pathologist SLP006528GeorgiaSecondary
Speech-language Pathologist SLP 06551GeorgiaSecondary
Speech-language Pathologist SLP 006556GeorgiaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
000970835AMedicaidGeorgia
317872221AMedicaidGeorgia
503885675BMedicaidGeorgia
315889908AMedicaidGeorgia
339518223AMedicaidGeorgia
516643175AMedicaidGeorgia
761415888AMedicaidGeorgia
765677599AMedicaidGeorgia
814363142AMedicaidGeorgia
188883028BMedicaidGeorgia
426315361AMedicaidGeorgia
000753563EMedicaidGeorgia
191707573AMedicaidGeorgia
461168837AMedicaidGeorgia
481436178BMedicaidGeorgia
000860736BMedicaidGeorgia
240960806AMedicaidGeorgia
850524466AMedicaidGeorgia
146855825AMedicaidGeorgia
986209149BMedicaidGeorgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Moon River, Llc
790 Oak Trail Dr,
Marietta, Georgia
Zip: 30062-7502
Phone Number: 770-212-2170
Fax Number: 770-783-8639
Patients can reach Moon River, Llc at 790 Oak Trail Dr, Marietta, Georgia or can call to book an appointment on 770-977-6866. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.

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