EZEKIEL MORENO


Address: 1412 Bentwood Dr, Lansing, MI 48917-2035
Phone: 5172721478

EZEKIEL MORENO (NPI# 1215566757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215566757
Entity Type Individual
Full Name EZEKIEL MORENO
Practice Address 1412 Bentwood Dr
Lansing
MI 48917-2035
Practice Telephone 5172721478
Enumeration Date 2020-04-06
Last Update Date 2020-05-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 6401018236 MI Behavioral Health & Social Service Providers
N 101YS0200X Counselor
Specialization: School
SC0000000913456 MI Behavioral Health & Social Service Providers

Office Location

Street Address 1412 BENTWOOD DR
City LANSING
State MI
Zip Code 48917-2035

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053937102 Tawni Klein Speech-Language Pathologist 701 Snow Rd Suite A, Lansing, MI 48917 2020-06-24
1639700545 Steevens Pierre Mirville Technician 5814 Cabrena Drive, Lansing, MI 48917 2020-01-29
1376197830 Cheryl Ann Day Physical Therapist 7107 Treasure Isle, Lansing, MI 48917 2019-08-01
1912423849 National Seating & Mobility, Inc Durable Medical Equipment & Medical Supplies 419 Lentz Ct, Lansing, MI 48917 2017-08-22
1215367149 Thomas Ball Pharmacist 5125 W Saginaw, Lansing, MI 48917 2013-11-13
1144658659 Eaton Care Center, LLC Skilled Nursing Facility 12200 Broadbent, Lansing, MI 48917 2013-10-18
1154768596 Casey Stokes Physical Therapist 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 2013-05-24
1164774659 Bona Birki Gada Pharmacist 2410 W. Willow St, Apt A203, Lansing, MI 48917 2012-10-08
1497037584 Fms Lansing, LLC Clinic/Center 916 Mall Drive East, Suite 100, Lansing, MI 48917 2011-09-14
1326332396 Talitha P Easterly Psychologist 302 South Waverly, Suite 1, Lansing, MI 48917 2011-06-07
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225503576 Danielle Greve Counselor 5904 Cabrena Dr, Lansing, MI 48917-1263 2018-10-12
1073029880 Re-inventing Yourself Counsultation LLC Counselor 913 W Holmes Rd Ste 178a, Lansing, MI 48910-0434 2017-12-18
1003270133 Stephanie Gogarn Counselor 5010 Delbrook Ave, Lansing, MI 48910-5386 2016-04-05
1659747632 Darryl Steele Counselor 838 Edgemont Blvd Apt 5, Lansing, MI 48917-2227 2015-08-13
1407236284 Marianne Oren Counselor 2200 Boston Blvd, Lansing, MI 48910-2460 2015-06-05
1649667403 Cheryl Ann Wade Counselor 1712 E Michigan Ave., Lansing, MI 48912 2015-04-20
1982004800 Ajaunta Turner Counselor 3419 Davidson Dr, Lansing, MI 48910-4487 2014-08-28
1508273202 Julia Dawson Counselor 913 W Holmes Rd Ste 135, Lansing, MI 48910-0436 2014-07-15
1235561242 Kathryn Ann Stephens Counselor 2580 Eaton Rapids Rd, Lansing, MI 48911-6307 2013-07-31
1164760682 Terri Jefferson Counselor 4710 W Saginaw Hwy Ste 1, Lansing, MI 48917-2654 2013-01-17
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Competitor

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City LANSING
Zip Code 48917

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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