Diane Marie Hudson, MSED, LMHC, NCC | |
2435 Kimberly Rd Ste 205n, Bettendorf, IA 52722-3521 | |
(563) 484-0266 | |
Not Available |
Full Name | Diane Marie Hudson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2435 Kimberly Rd Ste 205n, Bettendorf, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306492285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 096856 (Iowa) | Secondary |
374J00000X | Doula | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | 096856 (Iowa) | Primary |
Entity Name | New Moon Wellness Qc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801663760 PECOS PAC ID: 1153774286 Enrollment ID: O20240125001011 |
Mailing Address | Practice Location Address |
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Diane Marie Hudson, MSED, LMHC, NCC 2435 Kimberly Rd Ste 205n, Bettendorf, IA 52722-3521 Ph: (563) 484-0266 | Diane Marie Hudson, MSED, LMHC, NCC 2435 Kimberly Rd Ste 205n, Bettendorf, IA 52722-3521 Ph: (563) 484-0266 |
Debbie Lynn James, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2435 Kimberly Rd Ste 145n, Bettendorf, IA 52722 Phone: 563-355-0780 | |
Brooke Hall Allender Radech, TLMHC, NCC, SCHOOLCO Counselor Medicare: Not Enrolled in Medicare Practice Location: 3625 Utica Ridge Rd Ste F, Bettendorf, IA 52722 Phone: 563-359-6750 | |
Melanie Scheer, TLMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2435 Kimberly Rd Ste 270, Bettendorf, IA 52722 Phone: 563-219-7700 | |
Jill Jaster, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2435 Kimberly Rd Ste 270, Bettendorf, IA 52722 Phone: 563-219-7700 | |
Mr. Mark Robert Hippler, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Central Ave, Bettendorf, IA 52722 Phone: 563-355-4701 | |
Tiffany Dawn Crouse, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3625 Utica Ridge Rd Ste F, Bettendorf, IA 52722 Phone: 563-359-6750 | |
Mrs. Ann M. Fisher, M.S. ED., LMHC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2550 Middle Rd Ste 300, Bettendorf, IA 52722 Phone: 563-445-2375 Fax: 563-359-1768 |