Mr George E Moredock Iii, LPN - Counselor in Casa Grande, AZ

Mr George E Moredock Iii, LPN is a Counselor - Mental Health based in Casa Grande, Arizona. Mr George E Moredock Iii is licensed to practice in Arizona (license number LPC16741) and his current practice location is 2848 N Taylor Ln, Casa Grande, Arizona. He can be reached at his office (for appointments etc.) via phone at (520) 213-6722.

NPI number for Mr George E Moredock Iii is 1639675184 and his current mailing address is 2848 N Taylor Ln, Casa Grande, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639675184.

Contact Information

Mr George E Moredock Iii, LPN
2848 N Taylor Ln,
Casa Grande, AZ 85122-5870
(520) 213-6722
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr George E Moredock Iii
GenderMale
SpecialityCounselor - Mental Health
Location2848 N Taylor Ln, Casa Grande, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639675184
  • Provider Enumeration Date: 04/03/2018
  • Last Update Date: 04/03/2018

Medical Identifiers

Medical identifiers for Mr George E Moredock Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639675184NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor LPC16741 (Arizona)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) LPC167741 (Arizona)Secondary
101YP2500XCounselor - Professional LPC16741 (Arizona)Secondary
106H00000XMarriage & Family Therapist LPC16741 (Arizona)Secondary
101YM0800XCounselor - Mental Health LPC16741 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr George E Moredock Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr George E Moredock Iii, LPN
2848 N Taylor Ln,
Casa Grande, AZ 85122-5870

Ph: (520) 213-6722
Mr George E Moredock Iii, LPN
2848 N Taylor Ln,
Casa Grande, AZ 85122-5870

Ph: (520) 213-6722

Reviews and Comments


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