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NPI Code Detail

MEDICARE: MS. MELINDA MOATS M.ED.

MEDICARE: MS. MELINDA MOATS M.ED.
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
1101YM0800XMental Health CounselorLH00003535WA

General Provider Information

NPI Number : 1265519839
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELINDA MOATS M.ED.
Provider Business Mailing Address
First Line : 10011 270TH ST NW
Second Line : SUITE B
City : STANWOOD
State : WA
Zip : 98292-8021
Country : US
Telephone Number : 360-629-8232
Fax Number : 360-629-6063
Provider Business Practice Location Address
First Line : 10011 270TH ST NW
Second Line : SUITE B
City : STANWOOD
State : WA
Zip : 98292-8021
Country : US
Telephone Number : 360-629-8232
Fax Number : 360-629-6063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ MS. MELINDA MOATS M.ED.” Practice Location

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