# MOXIE NOVA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Moxie Nova, Moxie Nova Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609551787
- **Authorized official:** AMANDA JADE OLSON (OWNER & CEO)
- **Authorized official phone:** (712) 340-7323

## Contact information

- **Practice address:** 1820 CENTRAL AVE, ESTHERVILLE, IA 51334-2409
- **Practice address phone:** (712) 340-7323
- **Practice address fax:** (712) 560-9088
- **Mailing address:** PO BOX 308, ESTHERVILLE, IA 51334-0308
- **Mailing address phone:** (712) 340-7323
- **Mailing address fax:** (712) 560-9088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 06/16/2023
- **Last updated:** 02/20/2024