Mooney, India R

Mooney, India R is an individual health care provider with primary practice located at 12200 E 13 Mile Rd , Warren MI 48093-3093. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mooney, India R can be contacted via phone (313) 255-8250.

Contact Information

Primary practice address
12200 E 13 Mile Rd Warren MI 48093-3093
Phone: (313) 255-8250
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401019217 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401019217 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401019217 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401223867 Michigan

Profile Details

NPI number 1184272791
LBN Legal business name Mooney, India R
Credentials MA, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2019
Last updated Jan 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184272791 NPPES
Michigan MEDICAID 6344

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