# NEXUMHC WA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629847967
- **Authorized official:** ARON MOORE LCSW (CEO)
- **Authorized official phone:** (732) 330-6304

## Contact information

- **Practice address:** 522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0580
- **Practice address phone:** (773) 887-6150
- **Mailing address:** 6134 N BERNARD ST, CHICAGO, IL 60659-2212
- **Mailing address phone:** (773) 887-6150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2023
- **Last updated:** 12/28/2023