Summer Moon, LPC
NPI 1144182650 · on the registry since 2025 · sole proprietor
Practice
- Address
- 401 Ridley Ave
Lagrange, GA 30240 - Phone
- (706) 756-1970
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia