| Mental Health Priority Mhp | |
|
7740 Cohenour Rd Orange TX 77632-5969 | |
| (337) 704-6930 | |
| (225) 282-1010 |
| Full Name | Mental Health Priority Mhp |
|---|---|
| Speciality | Social Worker |
| Location | 7740 Cohenour Rd, Orange, Texas |
| Authorized Official Name and Position | Kimberly N Moton (CEO) |
| Authorized Official Contact | 3373911860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Priority Mhp 4235 Pine Shadows Ln Lake Charles LA 70615-2992 Ph: (337) 391-1860 | Mental Health Priority Mhp 7740 Cohenour Rd Orange TX 77632-5969 Ph: (337) 704-6930 |
| NPI Number | 1922777549 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 0840676367 |
|---|---|
| Medicare Enrollment ID | O20221005003704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922777549 | NPI | - | NPPES |
| 2528564 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| Provider Name | Kimberly Moton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699165928 PECOS PAC ID: 7618226200 Enrollment ID: I20210821000150 |
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