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NPI Code Detail

MEDICARE: MOVING MOUNTAINS COUNSELING, LLC

MEDICARE: MOVING MOUNTAINS COUNSELING, LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1295092617
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOVING MOUNTAINS COUNSELING, LLC
Provider Business Mailing Address
First Line : PO BOX 854
Second Line :
City : FESTUS
State : MO
Zip : 63028-0854
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 N TRUMAN BLVD
Second Line : STE 1
City : FESTUS
State : MO
Zip : 63028-1177
Country : US
Telephone Number : 636-933-4104
Fax Number : 636-933-4049
Authorized Official
Title or Position : OWNER
Name : AMIE MERZ
Credential : LPC
Telephone Number : 314-520-6211
Provider Enumeration Date : 04/23/2012
Last Update Date : 04/23/2012

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Directions to “MOVING MOUNTAINS COUNSELING, LLC ” Practice Location

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