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Contact Information

DANIELLE MOULTON
2307 PROSE CIR
COVINGTON, GA30016-1380
 Phone: 678-697-8139
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Home Health Aide

374U00000X
 

Mental Health

101YM0800X
 

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for DANIELLE MOULTON · (Female)

NPI Number 1619762358
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2025
Last updated 04/14/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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