Individual provider · Type 1 NPI
Durant Moses, PhD
Adult Mental Health Clinic/Center · Swainsboro, GA
NPI number
1114599636
Active
Practice location
221 E Pine St
Swainsboro, GA 30401-3679
Mailing address
511 Robin Rd # B
Swainsboro, GA 30401-3430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
About NPI 1114599636
Durant Moses, PhD's National Provider Identifier is 1114599636, issued on Jul 14, 2021. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Swainsboro, GA. The record was last updated on Jul 14, 2021.