| Heather Moller | |
|
70276 3rd St Covington LA 70433-5412 | |
| (506) 299-4498 | |
| Not Available |
| Full Name | Heather Moller |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 70276 3rd St, Covington, Louisiana |
| Authorized Official Name and Position | Heather Moller (CEO) |
| Authorized Official Contact | 8506299449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Moller 70276 3rd St Covington LA 70433-5412 Ph: (506) 299-4498 | Heather Moller 70276 3rd St Covington LA 70433-5412 Ph: (506) 299-4498 |
| NPI Number | 1639891310 |
|---|---|
| Provider Enumeration Date | 09/19/2022 |
| Last Update Date | 09/06/2023 |
| Certification Date | 09/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639891310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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