Krista A Moulton, LCSW | |
4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 | |
(256) 705-6420 | |
(256) 705-6477 |
Full Name | Krista A Moulton |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 4040 Memorial Pkwy Sw, Huntsville, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982755633 | NPI | - | NPPES |
51537000 | Other | AL | BCBS OF ALABAMA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1982C (Alabama) | Primary |
Entity Name | Wellstone, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407809213 PECOS PAC ID: 9739070046 Enrollment ID: O20040324000453 |
Mailing Address | Practice Location Address |
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Krista A Moulton, LCSW 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 Ph: (256) 705-6420 | Krista A Moulton, LCSW 4040 Memorial Pkwy Sw, Huntsville, AL 35802-4364 Ph: (256) 705-6420 |
Dr. Jane Allgood, PH.D. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 917 Willowbrook Dr Se Ste C, Huntsville, AL 35802 Phone: 256-850-4091 Fax: 256-970-1643 | |
Alecie Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3930 Pulaski Pike Nw Apt C16, Huntsville, AL 35810 Phone: 205-667-2533 | |
Jason M. Leslie, LICSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3311 Bob Wallace Ave Sw Ste 103, Huntsville, AL 35805 Phone: 256-258-9341 | |
Louis R Dixon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4040 Memorial Pkwy Sw, Huntsville, AL 35802 Phone: 256-533-1970 Fax: 256-532-4112 | |
Ms. Karin Heinz Confer, ACSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 106 Central Ave Se, Huntsville, AL 35801 Phone: 256-536-0019 Fax: 256-536-2964 | |
Mrs. Elizabeth Cook, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 208 Winthrop Dr Sw, Huntsville, AL 35801 Phone: 256-520-1439 | |
Mrs. Florence Doughty, LCSW, PIP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 475 Providence Main St Nw, Suite 401, Huntsville, AL 35806 Phone: 256-716-0811 |