| Moxie Counseling Llc | |
|
140 N Hydraulic St Ste 1000 Wichita KS 67214-4246 | |
| (164) 444-0110 | |
| Not Available |
| Full Name | Moxie Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 140 N Hydraulic St Ste 1000, Wichita, Kansas |
| Authorized Official Name and Position | Jennifer Dawn Cassity (OWNER) |
| Authorized Official Contact | 3167088273 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moxie Counseling Llc 140 N Hydraulic St Ste 1000 Wichita KS 67214-4246 Ph: (164) 444-0110 | Moxie Counseling Llc 140 N Hydraulic St Ste 1000 Wichita KS 67214-4246 Ph: (164) 444-0110 |
| NPI Number | 1750122602 |
|---|---|
| Provider Enumeration Date | 06/04/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Medicare PECOS PAC ID | 2567909047 |
|---|---|
| Medicare Enrollment ID | O20240801002380 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750122602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Jennifer Dawn Cassity |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346988029 PECOS PAC ID: 1759728652 Enrollment ID: I20240327003489 |
| Provider Name | Allison R Vannahmen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336719087 PECOS PAC ID: 1850839267 Enrollment ID: I20240816001113 |
| Provider Name | Alexandra Jade Freeman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780307108 PECOS PAC ID: 0143752584 Enrollment ID: I20241010001551 |
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