Healthcare Provider Details

I. General information

NPI: 1528979333
Provider Name (Legal Business Name): PRECIOUS LATOYA MOSES MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 TECHWOOD DR
ALBANY GA
31707-5095
US

IV. Provider business mailing address

2115 TECHWOOD DR
ALBANY GA
31707-5095
US

V. Phone/Fax

Practice location:
  • Phone: 229-418-1128
  • Fax:
Mailing address:
  • Phone: 229-418-1128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: