MEDICARE: SHEILA WILSON MOSLEY MHSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility
3	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
4	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1275251951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA WILSON MOSLEY MHSA

Provider Business Mailing Address
First Line	:	6081 HAMILTON BLVD STE 600
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18106-9801
Country	:	US
Telephone Number	:	845-661-0285
Fax Number	:

Provider Business Practice Location Address
First Line	:	6081 HAMILTON BLVD STE 600
Second Line	:
City	:	ALLENTOWN
State	:	PA
Zip	:	18106-9801
Country	:	US
Telephone Number	:	456-610-2858
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	03/12/2025

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