Diane Marie Hudson, MSED, LMHC, NCC | |
4620 E 53rd St Ste 200, Davenport, IA 52807-3627 | |
(563) 484-0266 | |
Not Available |
Full Name | Diane Marie Hudson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 4620 E 53rd St Ste 200, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306492285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 096856 (Iowa) | Secondary |
374J00000X | Doula | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 096856 (Iowa) | Primary |
Entity Name | New Moon Wellness Qc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801663760 PECOS PAC ID: 1153774286 Enrollment ID: O20240125001011 |
Mailing Address | Practice Location Address |
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Diane Marie Hudson, MSED, LMHC, NCC 4620 E 53rd St Ste 200, Davenport, IA 52807-3627 Ph: (563) 484-0266 | Diane Marie Hudson, MSED, LMHC, NCC 4620 E 53rd St Ste 200, Davenport, IA 52807-3627 Ph: (563) 484-0266 |
Jo Carthey, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2319 E 29th St, Davenport, IA 52803 Phone: 563-528-4775 | |
Jamie Lynn Cullen, LMHC, IADC, CCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3475 Jersey Ridge Rd, Davenport, IA 52807 Phone: 563-349-5235 | |
Jennifer Cobb, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 W 15th St, Davenport, IA 52803 Phone: 563-322-7419 | |
Michael Anthony Cox, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4620 E 53rd St Ste 200, Davenport, IA 52807 Phone: 563-484-0840 | |
Melanie Scheer, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5403 Victoria Ave, Davenport, IA 52807 Phone: 563-296-0877 | |
Kelly Jean Kreiter Penning, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Eastern Ave, Davenport, IA 52803 Phone: 563-326-6431 | |
Rachel J Staron, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2028 E 38th St Ste 3-5, Davenport, IA 52807 Phone: 563-424-2016 |