| Evanni Moore, | |
|
2300 Crown Colony Dr Ste 202, Quincy, MA 02169-0902 | |
| (781) 551-0999 | |
| Not Available |
| Full Name | Evanni Moore |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 2300 Crown Colony Dr Ste 202, Quincy, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790345759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMHC10005218 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Shore Mental Health Center Inc | 4082508429 | 36 |
| Entity Name | South Shore Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770528317 PECOS PAC ID: 4082508429 Enrollment ID: O20040226000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Evanni Moore, Po Box 675153, Detroit, MI 48267-5153 Ph: (781) 551-0999 | Evanni Moore, 2300 Crown Colony Dr Ste 202, Quincy, MA 02169-0902 Ph: (781) 551-0999 |
Karia Higginbottom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Quincy Ave, Quincy, MA 02169 Phone: 617-847-1950 |
Steven James Gibbons, RECOVERY COACH Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Quincy Ave Ste B, Quincy, MA 02169 Phone: 857-939-1363 |
Mr. Tom F Chappuis Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Quincy Ave, Quincy, MA 02169 Phone: 617-774-6036 |
Victoria Spiker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1419 Hancock St Ste 202, Quincy, MA 02169 Phone: 617-770-9690 |
Benjamin Chase, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1515 Hancock St Ste 306, Quincy, MA 02169 Phone: 617-404-3621 |
Ms. Anke C Thorne, MS LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1 Billings Rd Ste 306, Quincy, MA 02171 Phone: 617-314-3495 Fax: 781-826-0012 |
Daniel Robert Maltais, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 Temple St, Quincy, MA 02169 Phone: 617-471-8400 |