Moss, Patricia B.

Moss, Patricia B. is an sole proprietor health care provider with primary practice located at 2618 Chaucer Dr , Augusta GA 30909-6588. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Behavioral Health & Social Service Providers / Professional. Nursing Service Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Moss, Patricia B. can be contacted via phone (706) 373-7900.

Contact Information

Primary practice address
2618 Chaucer Dr Augusta GA 30909-6588
Phone: (706) 373-7900
Fax: (877) 748-6950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN043959 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC002573 Georgia

Profile Details

NPI number 1619014099
LBN Legal business name Moss, Patricia B.
Credentials APRN,CS,BC, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated May 4th, 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 1619014099 NPPES
Georgia MEDICAID 006429956A

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