Audrey Moen is a Mental Health in Grand Rapids, Minnesota. Audrey Moen practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Audrey Moen is 1306052972. The last update date is 2007-07-08.
Audrey Moen's current location address is 215 Se 2nd Ave, Grand Rapids, Minnesota. You can contact this provider via phone number 2183261274 and fax number 2183268255. The mailing address for Audrey Moen is 215 Se 2nd Ave, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrey Moen |
|---|---|
| Address | 215 Se 2nd Ave, Grand Rapids, Minnesota |
| Phone Number | 2183261274 |
| Fax Number | 2183268255 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1306052972 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 215 Se 2nd Ave |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 557443615 |
| Phone Number | 2183261274 |
| Fax Number | 2183268255 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the unique identifier code issued to Audrey Moen by the Centers for Medicare & Medicaid Services (CMS)?
The Audrey Moen has been assigned the NPI (National Provider Identifier) 1306052972. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Audrey Moen's physical address?
The Audrey Moen is physically located at 215 Se 2Nd Ave, in the city of Grand Rapids, MN, with the postal code 557443615.
What is Audrey Moen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Audrey Moen is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.
On what date did the Audrey Moen receive the assignment of its 1306052972 from the Centers for Medicare & Medicaid Services?
The Audrey Moen was issued its 1306052972 by the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date were the Audrey Moen's details last updated?
The information pertaining to the Audrey Moen, including its address, specialty, and other details, was most recently updated on 2007-07-08.