| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 01/11/2020 |
| Certification Date | 01/11/2020 |
| Medicare PECOS PAC ID | 0941570550 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023358595 PECOS PAC ID: 1850661463 Enrollment ID: I20200928001272 |
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