| Moodrx Llc | |
|
121 N Wayne Ave Wayne PA 19087-3542 | |
| (863) 320-2545 | |
| Not Available |
| Full Name | Moodrx Llc |
|---|---|
| Speciality | Counselor |
| Location | 121 N Wayne Ave, Wayne, Pennsylvania |
| Authorized Official Name and Position | Sami Quazi (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 8633202545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moodrx Llc 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (863) 320-2545 | Moodrx Llc 121 N Wayne Ave Wayne PA 19087-3542 Ph: (863) 320-2545 |
| NPI Number | 1912735267 |
|---|---|
| Provider Enumeration Date | 07/25/2024 |
| Last Update Date | 09/30/2025 |
| Certification Date | 09/30/2025 |
| Medicare PECOS PAC ID | 6709318256 |
|---|---|
| Medicare Enrollment ID | O20241022002573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912735267 | NPI | - | NPPES |
| Provider Name | Lorraine Dohrmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669520102 PECOS PAC ID: 0547582454 Enrollment ID: I20141204000327 |
| Provider Name | Ephraim Tokar |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538896857 PECOS PAC ID: 7517310741 Enrollment ID: I20240124002212 |
| Provider Name | Kruti Quazi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144605387 PECOS PAC ID: 7517499064 Enrollment ID: I20241022002792 |
| Provider Name | Maura Pinto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164275871 PECOS PAC ID: 6305370081 Enrollment ID: I20241118002115 |
| Provider Name | Nicole Flanagan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225641608 PECOS PAC ID: 2769912229 Enrollment ID: I20250213000044 |
| Provider Name | Troy Cohick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275241218 PECOS PAC ID: 7416487756 Enrollment ID: I20250217000022 |
| Provider Name | Mikala Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730915208 PECOS PAC ID: 9537689815 Enrollment ID: I20250218001953 |
| Provider Name | Desiree Pannier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508506544 PECOS PAC ID: 5294257135 Enrollment ID: I20250320000007 |
| Provider Name | Andrea Distler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043074719 PECOS PAC ID: 2961927512 Enrollment ID: I20250416002704 |
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