| Mood And Food Connections, Pllc | |
|
206 N Main St Mooresville NC 28115-2528 | |
| (704) 879-5808 | |
| Not Available |
| Full Name | Mood And Food Connections, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 206 N Main St, Mooresville, North Carolina |
| Authorized Official Name and Position | Jennifer Keever (CREDENTIALIER /BILLER) |
| Authorized Official Contact | 8284936015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mood And Food Connections, Pllc 206 N Main St Mooresville NC 28115-2528 Ph: (704) 879-5808 | Mood And Food Connections, Pllc 206 N Main St Mooresville NC 28115-2528 Ph: (704) 879-5808 |
| NPI Number | 1891362604 |
|---|---|
| Provider Enumeration Date | 06/09/2021 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Medicare PECOS PAC ID | 5890199095 |
|---|---|
| Medicare Enrollment ID | O20231106002232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891362604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katherine Mcdonnell Mcintosh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902207384 PECOS PAC ID: 8729366927 Enrollment ID: I20161021001813 |
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