Healthcare Provider Details

I. General information

NPI: 1629991070
Provider Name (Legal Business Name): MOSS THERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 3RD ST NE STE 3
ORANGE CITY IA
51041-1308
US

IV. Provider business mailing address

210 MICHIGAN AVE NW
ORANGE CITY IA
51041-1283
US

V. Phone/Fax

Practice location:
  • Phone: 712-220-0357
  • Fax:
Mailing address:
  • Phone: 712-220-0357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: LIZBETH MOSS
Title or Position: OWNER
Credential:
Phone: 712-220-0357