# MOXY UP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MOXY UP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750232823
- **Legal business name:** MOXY UP
- **Authorized official:** COLEEN LAWRENCE EJD (DIRECTOR)
- **Authorized official phone:** (775) 790-7022

## Contact information

- **Practice address:** 1000 CST, SUITE A-1, HAWTHORNE, NV 89415
- **Practice address phone:** (775) 790-7022
- **Mailing address:** PO BOX 6322, GARDNERVILLE, NV 89460-4605
- **Mailing address phone:** (775) 790-7022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2026
- **Last updated:** 02/05/2026