| Counseling With Moxie Pllc | |
|
222 Mcdonald Ln E Cedar Creek TX 78612-3161 | |
| (612) 601-0619 | |
| Not Available |
| Full Name | Counseling With Moxie Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 222 Mcdonald Ln E, Cedar Creek, Texas |
| Authorized Official Name and Position | Jordan Kristyne Adams (COUNSELOR) |
| Authorized Official Contact | 5126010619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling With Moxie Pllc Po Box 528 Cedar Creek TX 78612-0528 Ph: (512) 601-0619 | Counseling With Moxie Pllc 222 Mcdonald Ln E Cedar Creek TX 78612-3161 Ph: (612) 601-0619 |
| NPI Number | 1841901212 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/07/2022 |
| Medicare PECOS PAC ID | 9436520137 |
|---|---|
| Medicare Enrollment ID | O20230117000601 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841901212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jordan Kristyne Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912401464 PECOS PAC ID: 8426396243 Enrollment ID: I20190220001646 |
Zaada Hailley Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 Colorado Dr, Cedar Creek, TX 78612 Phone: 512-297-4696 Fax: 512-321-4300 |