Individual
AMY B MOULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LCMHCS, NCC
Contact information
Practice address
950 WINDY RD STE 305, APEX, NC 27502-2513
(919) 303-0273
(919) 303-5986
Mailing address
950 WINDY RD STE 305, APEX, NC 27502-2513
(919) 303-0273
(919) 303-5986
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3648
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127VT
BCBS PROVIDER ID
NC
Enumeration date
08/11/2006
Last updated
10/26/2024
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