Individual
AMY GIVENS MOLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
125 BROAD STREET, DUBLIN, VA 24084-3201
(540) 674-4506
(540) 674-4507
Mailing address
PO BOX 1183, DUBLIN, VA 24084-1183
(540) 674-4506
(540) 674-4507
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003014
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01-0006571
—
VA
01
—
1000010001010788352
UNITED HEALTHCARE INSURANCE COMPANY
PA
01
—
178164
VALUE OPTIONS
—
01
—
18377
VIRGINIA PREMIER HEALTH PLAN
VA
01
—
237585
ANTHEM
—
01
—
25180
CARILION SERVICES, INC
VA
01
—
276674-000
MAGELLAN
MO
Enumeration date
07/21/2006
Last updated
05/28/2008
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