=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629991070
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MOSS THERAPY SERVICES PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/03/2026
-----------------------------------------------------
Last Update Date | 08/03/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 3RD ST NE STE 3
-----------------------------------------------------
City | ORANGE CITY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51041-1308
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-220-0357
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 210 MICHIGAN AVE NW
-----------------------------------------------------
City | ORANGE CITY
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 51041-1283
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-220-0357
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LIZBETH MOSS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 712-220-0357
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------