Christa E Moeller, BSW, RCPSS

Individual provider Active NPI Case Manager/Care Coordinator · Avondale, LA

NPI 1497525174 · NPPES record last updated Jan 4, 2024

Key facts

NPI
1497525174
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
92 Elaine Dr
Avondale, LA 70094-2943
Phone
(907) 297-8895
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X LA
Case Manager/Care Coordinator 171M00000X AK Yes

Addresses

Primary practice location

92 Elaine Dr
Avondale, LA 70094-2943

Mailing address

92 Elaine Dr
Avondale, LA 70094-2943
Phone (907) 297-8895

Other providers in Avondale, LA

All providers in Avondale, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.