Provider Demographics
NPI:1669226544
Name:MOXIE PSYCH AND WELLNESS, PC
Entity type:Organization
Organization Name:MOXIE PSYCH AND WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:C
Authorized Official - Last Name:STARKS
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:786-325-9797
Mailing Address - Street 1:PO BOX 667009
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77266-7009
Mailing Address - Country:US
Mailing Address - Phone:786-325-9797
Mailing Address - Fax:
Practice Address - Street 1:9525 KATY FWY STE 138
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1433
Practice Address - Country:US
Practice Address - Phone:786-325-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty