HEATHER MOEN LAC NPI 1326789405

NPI Information

NPI: 1326789405
Provider Name: HEATHER MOEN, LAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
151 S 4TH ST STE 401
GRAND FORKS, ND
ZIP 58201
Phone: (701) 795-3084
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Heather Moen, LAC is an addiction (substance use disorder) counselor in Grand Forks, ND. Heather Moen, LAC NPI is 1326789405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 S 4TH ST STE 401
GRAND FORKS, ND
ZIP 58201-715
Phone: (701) 795-3084
Fax: (701) 795-3050

The enumeration date for this NPI number is 4/5/2022 and was last updated on 7/12/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1927	NORTH DAKOTA	Yes
2	171M00000X	Case Manager/Care Coordinator				No
3	174400000X	Specialist				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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