Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAZEL MOON, LPC
Active Sole ProprietorProfessional Counselor · RUSSELLVILLE, AR
Registration Details
- NPI Number
- 1083186431
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 26, 2018 (7.3349313158368 yrs)
- Last Updated
- Jan 27, 2026
- License
-
P2202000 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1475 S DETROIT AVERUSSELLVILLE, AR, 728016838Browse AR providers · Browse ZIP 72801
- Phone
- 4793964826
- Fax
- 4793964827
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in RUSSELLVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MARK A COFFMAN | LPC, LADAC | 1780775288 |
| LINDA ELAINE PHILLIPS | MED LICENSED PROFESS | 1629168067 |
| MANDY TIGERT | LPC | 1215079546 |
| BETH STEVENS | LPC | 1972639326 |
| KENNETH ROY | M.A. LAC | 1609099761 |
| MELISSA LOUISE BRADLEY | LPC | 1518113463 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.