SUMMER MOON, LPC

Counselor

Active Individual
NPI: 1144182650

Practice Address

401 RIDLEY AVE
Lagrange, GA 30240

Phone: (706) 756-1970

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes LPC014910 (GA)

Frequently Asked Questions

NPI 1144182650 is the National Provider Identifier for SUMMER MOON, LPC, a Counselor provider located in Lagrange, GA. This NPI was enumerated on December 2, 2025.
SUMMER MOON, LPC practices at 401 RIDLEY AVE, Lagrange, GA 30240.

Quick Facts

NPI
1144182650
Type
Individual
Enumerated
Dec 2, 2025
Last Updated
Dec 2, 2025

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