Moffett, Aleshia

Moffett, Aleshia is an individual health care provider with primary practice located at 3407 Shamrock Court , Gautier MS 39553. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Moffett, Aleshia can be contacted via phone (228) 497-0690.

Contact Information

Primary practice address
3407 Shamrock Court Gautier MS 39553
Phone: (228) 497-0690
Fax: (228) 497-0690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1326138025
LBN Legal business name Moffett, Aleshia
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326138025 NPPES
Mississippi MEDICAID 00018214

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