Michelle Annette Moran, BSW

Individual provider Active NPI Case Manager/Care Coordinator · Lonoke, AR

NPI 1588096044 · NPPES record last updated Aug 8, 2013

Key facts

NPI
1588096044
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
201 West 2ND Street
Lonoke, AR 72086-2804
Phone
(501) 676-3151
Fax
(501) 676-3152
NPI assigned
Aug 6, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Associates Inc. Past
since Jan 1, 2024
Accepting new patients
Professional Counseling Associates Inc. Past
since May 31, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

201 West 2ND Street
Lonoke, AR 72086-2804

Mailing address

215 E 9TH St
Carlisle, AR 72024-9382
Phone (870) 659-7002

Other providers in Lonoke, AR

All providers in Lonoke, AR · Case Manager/Care Coordinator in Arkansas

Sources for this page

Verify at the official NPI Registry.