Moffitt, Tandy

Moffitt, Tandy is an sole proprietor health care provider with primary practice located at 6392 Sunshine Meadows Ln , Brownsburg IN 46112-7718. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moffitt, Tandy can be contacted via phone (317) 514-2908.

Contact Information

Primary practice address
6392 Sunshine Meadows Ln Brownsburg IN 46112-7718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 34004789A Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 34004789A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004789A Indiana

Profile Details

NPI number 1528158979
LBN Legal business name Moffitt, Tandy
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2006
Last updated Oct 7th, 2023 - about last year

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 1528158979 NPPES
Other 000000495949 ANTHEM

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