Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moonlight Psychotherapy and Psychological Services, LLC

Organization Clinical Psychologist · NPI 1972075661

Moonlight Psychotherapy and Psychological Services, LLC provides Clinical Psychologist services in LA Crosse, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

205 5th Ave S Ste 428
LA Crosse, WI 54601-4059
Phone: (207) 317-0557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1972075661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Green — Owner / Psychologist · (207) 317-0557
NPI enumeratedDecember 19, 2018
Last updated in NPPESDecember 19, 2018
Mailing address1718 Sunset Dr, La Crosse, WI 54601-7030

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