HOLLY BLANC MOSES, BCBA LPC PLLC (NPI# 1902100118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902100118 |
Entity Type | Organization |
Organization Name | HOLLY BLANC MOSES, BCBA LPC PLLC |
Practice Address |
306 N B St Lenoir City TN 37771-2420 |
Practice Telephone | 8657892730 |
Mailing Telephone | 8657892730 |
Enumeration Date | 2011-01-03 |
Last Update Date | 2011-01-03 |
Authorized Official Name | MS. HOLLY BLANC MOSES (DIRECTOR) |
Authorized Official Telephone | 8657892730 |
Authorized Official Credential | BCBA LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
2568 | TN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1512959 | 05 |
Street Address |
306 N B ST |
City | LENOIR CITY |
State | TN |
Zip Code | 37771-2420 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992976682 | Holly Blanc Moses | Specialist | 306 N B St, Lenoir City, TN 37771-2420 | 2008-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801380621 | Geetika Chirumamilla | Dentist | 375 Kelsey Lane, Suite 1, Lenoir City, TN 37771 | 2018-06-15 |
1669918256 | Patrick Anthony Albanese | Pharmacist | 875 Hwy 321 N, Unit 600, Lenoir City, TN 37771 | 2017-01-06 |
1598014482 | Comprehensive Healthcare Systems of Lenoir City, PC | Contractor | 780 Highway 321 North Ste 10, Lenoir City, TN 37771 | 2012-09-06 |
1750619797 | James Olin Morris | Nurse Practitioner | 840 Hwy 321 N., Living Well Health Cooperative Clinic, Lenoir City, TN 37771 | 2009-12-03 |
1427284363 | Charles Preston Mccary IIi | Dentist | 603 Hwy 321 N., Lenoir City, TN 37771 | 2009-06-05 |
1619129004 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 300 Market Drive, Lenoir City, TN 37771 | 2008-10-16 |
1396898052 | David Wayne Holt | Chiropractor | 1005 E Broadway, Lenoir City, TN 37771 | 2007-01-18 |
1558428151 | Peter E Mueller | Optometrist | 911 Hwy 321 N, Lenoir City, TN 37771 | 2007-01-02 |
1871661371 | Darrick Shane Blankenship | Occupational Therapist | 785 Us Hwy 321 N, Ste 20, Lenoir City, TN 37771 | 2006-12-01 |
1851460224 | Cheryl S. Cason | Pharmacy Technician | 501 Adesa Blvd., Suite A 150, Lenoir City, TN 37771 | 2006-11-07 |
Find all providers in zip 37771 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629623087 | Laurie Apa | Counselor | 501 Adesa Blvd, Lenoir City, TN 37771-6725 | 2019-08-02 |
1295247716 | Lillie Halsey | Counselor | 1475 Simpson Rd W Ste 2, Lenoir City, TN 37771-6686 | 2017-10-25 |
1649718065 | Joshua Reagan | Counselor | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2017-02-06 |
1871985796 | Jessica Cagle | Counselor | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2015-03-02 |
1093104937 | Kathryn Paradis | Counselor | 1475 Simpson Rd W Ste 2, Lenoir City, TN 37771-6686 | 2015-01-15 |
1720480106 | Hilary Ann Parker | Counselor | 501 Adesa Blvd, Suite A-150, Lenoir City, TN 37771-6725 | 2014-09-17 |
1659782076 | Keisha Marie Shervington | Counselor | 501 Adesa Blvd Ste A150, Lenoir City, TN 37771-6719 | 2014-05-20 |
1881037067 | Sallie Ray | Counselor | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2013-04-08 |
1700123890 | Michelle Hatter | Counselor | 423 Medical Park Dr, Lenoir City, TN 37772-5640 | 2013-01-09 |
1063644789 | John Mason | Counselor | 423 Medical Park Dr, Suite 400, Lenoir City, TN 37772-5640 | 2009-08-13 |
Find all providers in LENOIR CITY |
City | LENOIR CITY |
Zip Code | 37771 |
Please comment or provide details below to improve the information on HOLLY BLANC MOSES, BCBA LPC PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.