Kimberly Lathe-moody, is a
Counselor - Addiction (substance Use Disorder) based in Pittston, Maine. Kimberly Lathe-moody is licensed to practice in Maine (license number CAC5932) and her current practice location is
582 Nash Rd, Pittston, Maine. She can be reached at her office (for appointments etc.) via phone at
(207) 582-0205.
NPI number for Kimberly Lathe-moody is 1265981047 and her current mailing address is 582 Nash Rd, Pittston, Maine. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265981047.
Healthcare Provider's Profile
Full Name | Kimberly Lathe-moody |
---|
Gender | Female |
---|
Speciality | Counselor - Addiction (substance Use Disorder) |
---|
Location | 582 Nash Rd, Pittston, Maine |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265981047
- Provider Enumeration Date: 09/22/2016
- Last Update Date: 09/22/2016
Medical Identifiers
Medical identifiers for Kimberly Lathe-moody such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265981047 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC5932 (Maine) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Lathe-moody is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Lathe-moody, 582 Nash Rd, Pittston, ME 04345-5735 Ph: (207) 582-0205 | Kimberly Lathe-moody, 582 Nash Rd, Pittston, ME 04345-5735 Ph: (207) 582-0205 |
Reviews and Comments