| Krista Ann Moulton, LICSW | |
|
207 Eustis Ave Se Ste B, Huntsville, AL 35801-4275 | |
| (256) 541-3877 | |
| (256) 541-3877 |
| Full Name | Krista Ann Moulton |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 207 Eustis Ave Se Ste B, Huntsville, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982755633 | NPI | - | NPPES |
| 51537000 | Other | AL | BCBS OF ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1982C (Alabama) | Primary |
| Entity Name | Wellstone, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407809213 PECOS PAC ID: 9739070046 Enrollment ID: O20040324000453 |
| Mailing Address | Practice Location Address |
|---|---|
| Krista Ann Moulton, LICSW 234 Grove Village Way, Madison, AL 35758-4503 Ph: (256) 541-3877 | Krista Ann Moulton, LICSW 207 Eustis Ave Se Ste B, Huntsville, AL 35801-4275 Ph: (256) 541-3877 |
Lindsey Odinma, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4900 University Sq Ste 30, Huntsville, AL 35816 Phone: 256-489-0170 Fax: 256-686-0179 | |
Dr. Jane Allgood, PH.D. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 917 Willowbrook Dr Se Ste C, Huntsville, AL 35802 Phone: 256-850-4091 Fax: 256-970-1643 | |
Alecie Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3930 Pulaski Pike Nw Apt C16, Huntsville, AL 35810 Phone: 205-667-2533 | |
Jason M. Leslie, LICSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3311 Bob Wallace Ave Sw Ste 103, Huntsville, AL 35805 Phone: 256-258-9341 | |
Louis R Dixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4040 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-533-1970 Fax: 256-532-4112 | |
Ms. Karin Heinz Confer, ACSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Central Ave Se, Huntsville, AL 35801 Phone: 256-536-0019 Fax: 256-536-2964 | |
Mrs. Elizabeth Cook, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 Winthrop Dr Sw, Huntsville, AL 35801 Phone: 256-520-1439 |