| Denise Moyo, MSW | |
|
1040 Waltham St, Lexington, MA 02421-8033 | |
| (781) 761-5165 | |
| Not Available |
| Full Name | Denise Moyo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1040 Waltham St, Lexington, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003056177 | NPI | - | NPPES |
| 1004745 | Other | MA | NHP |
| 1303287 | Other | MA | MBHP |
| 042611055 | Other | MA | TAX ID |
| 1303287 | Medicaid | MA | |
| M18633 | Other | MA | BCBS |
| 99618201 | Other | MA | NETWORKHEALTH |
| 0000023532 | Other | MA | BMC |
| Entity Name | Supportive Behavioral Care Of Ma Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Denise Moyo, MSW 45 Auburn St, Framingham, MA 01701-4849 Ph: () - | Denise Moyo, MSW 1040 Waltham St, Lexington, MA 02421-8033 Ph: (781) 761-5165 |
Ms. Magi Mckinnies, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Fletcher Ave, Lexington, MA 02420 Phone: 781-860-0620 | |
Michael Levi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Waltham St, Lexington, MA 02421 Phone: 339-707-0232 | |
Mr. Kyle Combs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1040 Waltham St, Lexington, MA 02421 Phone: 774-262-2868 | |
Angeliki Constantine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 | |
Emma Clay, RN Counselor Medicare: Medicare Enrolled Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 Fax: 781-592-0581 | |
Kate Mcgrath, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Hartwell Ave, Lexington, MA 02421 Phone: 781-861-0890 |