Moxie Professional Counseling Llc | |
333 State St Ste B Newburgh IN 47630-1270 | |
(812) 777-5230 | |
(812) 315-0222 |
Full Name | Moxie Professional Counseling Llc |
---|---|
Speciality | Social Worker |
Location | 333 State St Ste B, Newburgh, Indiana |
Authorized Official Name and Position | Nichole Devonshire (OWNER) |
Authorized Official Contact | 8124995004 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Moxie Professional Counseling Llc Po Box 784 Newburgh IN 47629-0784 Ph: (812) 777-5230 | Moxie Professional Counseling Llc 333 State St Ste B Newburgh IN 47630-1270 Ph: (812) 777-5230 |
NPI Number | 1144701996 |
---|---|
Provider Enumeration Date | 08/28/2018 |
Last Update Date | 08/18/2022 |
Certification Date | 08/18/2022 |
Medicare PECOS PAC ID | 3072866284 |
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Medicare Enrollment ID | O20181105001143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144701996 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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