Dr Moana, LLC

NPI #1003523366 in Dekalb, Illinois

Provider Information

NPI Number: 1003523366
Entity Type: Organization
Organization Name: Dr Moana, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 4, 2022
Last Updated: Nov 4, 2022

Practice Location

Address: 401 E HILLCREST DR
City: Dekalb
State: Illinois
ZIP Code: 60115-2407
Phone: (773) 656-2738

Authorized Official

Name: DR. JOEL MARC FILMORE, EDD, LCPC
Title: OWNER/CEO
Phone: (773) 656-2738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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