MEDICARE: YVETTE MOULTON LCPC

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
1	101YP2500X	Professional Counselor	LC6342	MD

General Provider Information

NPI Number	:	1417218975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVETTE MOULTON LCPC

Provider Business Mailing Address
First Line	:	3911 FAIRVIEW AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21216-1229
Country	:	US
Telephone Number	:	443-500-0258
Fax Number	:

Provider Business Practice Location Address
First Line	:	3911 FAIRVIEW AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21216-1229
Country	:	US
Telephone Number	:	443-500-0258
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2012
Last Update Date	:	12/21/2021

Similar Medicare Providers

1184003865 — YVETTE EADDY, LCPC, LCADC
Practice Location Address:

3911 FAIRVIEW AVE
BALTIMORE, MD
21216-1229

Practice Phone: 443-937-3628
Practice Fax:

1427413244 — EMMANUEL COMMUNITY COUNSELING SERVICES LLC
Practice Location Address:

3911 FAIRVIEW AVE
BALTIMORE, MD
21216-1229

Practice Phone: 410-650-8334
Practice Fax:

1063399012 — EDEN PLACE HEALING, LLC
Practice Location Address:

3911 FAIRVIEW AVE
BALTIMORE, MD
21216-1229

Practice Phone: 443-674-6343
Practice Fax:

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

Directions to “ YVETTE MOULTON LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.