Hozho Behavioral Health And Life Coaching Services, Pllc | |
11903 Main St Fredericksburg VA 22408-7326 | |
(540) 684-8962 | |
Not Available |
Full Name | Hozho Behavioral Health And Life Coaching Services, Pllc |
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Speciality | Social Worker |
Location | 11903 Main St, Fredericksburg, Virginia |
Authorized Official Name and Position | Joyce Catherine Corbin Moya (OWNER/OPERATOR) |
Authorized Official Contact | 8569120314 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hozho Behavioral Health And Life Coaching Services, Pllc 13006 Dubin Dr Spotsylvania VA 22551-8012 Ph: (856) 912-0314 | Hozho Behavioral Health And Life Coaching Services, Pllc 11903 Main St Fredericksburg VA 22408-7326 Ph: (540) 684-8962 |
NPI Number | 1811427800 |
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Provider Enumeration Date | 06/13/2017 |
Last Update Date | 01/11/2020 |
Certification Date | 01/11/2020 |
Medicare PECOS PAC ID | 0941570550 |
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Medicare Enrollment ID | O20200928000859 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811427800 | NPI | - | NPPES |
581935 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904009633 (Virginia) | Primary |
Provider Name | Joyce Catherine Corbin Moya |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023358595 PECOS PAC ID: 1850661463 Enrollment ID: I20200928001272 |
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