Organization
MOXIE PROFESSIONAL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE DEVONSHIRE LCSW (OWNER)
(812) 499-5004
Entity
Organization
Contact information
Practice address
333 STATE ST STE B, NEWBURGH, IN 47630-1270
(812) 777-5230
(812) 315-0222
Mailing address
PO BOX 784, NEWBURGH, IN 47629-0784
(812) 777-5230
(812) 315-0222
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/18/2022
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