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General NPI Number Information
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NPI Number | 1598646226
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Entity Type | Organization
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Legal Business Name | MOEMENTS, PLLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 3000 S. RANDOLPH STREET, 469
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City | ARLINGTON
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State | VA
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Zip | 22206
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Country | US
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Telephone | 770-658-6337
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Fax |
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Provider Business Mailing Address
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Address Line | 2776 S ARLINGTON MILL DR # 562
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City | ARLINGTON
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State | VA
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Zip | 22206-3402
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Country | US
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Telephone | 770-658-6337
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER/LCSW
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Name | MAHOGANY NICOLE LACOUR
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Credential | DSW, LCSW
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Telephone | 410-505-4522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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