Provider Demographics
NPI:1700585635
Name:MOSLEY, PAIGE REANNE (MS, CMHC)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:REANNE
Last Name:MOSLEY
Suffix:
Gender:F
Credentials:MS, CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 MICHELIN CT
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-7533
Mailing Address - Country:US
Mailing Address - Phone:813-308-9224
Mailing Address - Fax:813-762-1343
Practice Address - Street 1:1515 MICHELIN CT
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-7533
Practice Address - Country:US
Practice Address - Phone:813-308-9224
Practice Address - Fax:813-762-1343
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health