| Bobbi-jo Lisa Moujid, LICSW | |
|
400 Sibley St Ste 500, Saint Paul, MN 55101-1938 | |
| (651) 256-1274 | |
| Not Available |
| Full Name | Bobbi-jo Lisa Moujid |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 400 Sibley St Ste 500, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538155247 | NPI | - | NPPES |
| 217G9AZ | Other | MN | BLUE CROSS BLUE SHIELD |
| 990991042512 | Other | MN | PREFERRED ONE |
| 1000 | Other | MN | MHP |
| 113155 | Other | MN | UCARE |
| 198428400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 15873 (Minnesota) | Primary |
| Entity Name | Amherst H. Wilder Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548337355 PECOS PAC ID: 0941288922 Enrollment ID: O20110526000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Bobbi-jo Lisa Moujid, LICSW 400 Sibley St Ste 500, Saint Paul, MN 55101-1938 Ph: (651) 256-1274 | Bobbi-jo Lisa Moujid, LICSW 400 Sibley St Ste 500, Saint Paul, MN 55101-1938 Ph: (651) 256-1274 |
Yvette Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 762 Transfer Rd Ste 21, Saint Paul, MN 55114 Phone: 218-355-8978 | |
Miss Kelly Pertzsch, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2265 Como Ave, Saint Paul, MN 55108 Phone: 651-645-5325 Fax: 651-379-6141 | |
Abigail Brown, MA, LADC Counselor Medicare: Medicare Enrolled Practice Location: 1246 University Ave W, Saint Paul, MN 55104 Phone: 651-404-2000 | |
Pang Xiong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 451 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-280-2310 Fax: 651-280-3995 | |
Ms. Elizabeth Subramaniam, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 658 Grand Ave, Saint Paul, MN 55105 Phone: 612-920-2030 | |
Kyle Lipinski, MSS, LADC Counselor Medicare: Medicare Enrolled Practice Location: 438 Dorothy Day Pl, Saint Paul, MN 55102 Phone: 651-793-2219 | |
Noah Rector, LICSW, LADC, MED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2353 Rice St, Saint Paul, MN 55113 Phone: 612-979-2683 |