Dr Moana, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Dekalb, IL. Organization (NPI-2).
Details
- NPI
- 1003523366
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Moana, LLC
- Organization subpart
- No
- Enumeration date
- Nov 4, 2022
- Certification date
- Nov 4, 2022
- Last updated
- Nov 4, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Filmore Foundation: Social-Emotional Wellness Clinic (Doing Business As)
Practice location
401 E Hillcrest DrDekalb, IL 60115-2407
Phone 773-656-2738
Mailing address
401 E Hillcrest DrDekalb, IL 60115-2407
Phone 773-656-2738
Authorized official
Joel Marc Filmore
Owner/Ceo
7736562738
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 12 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Dekalb · All 1,126 providers in Dekalb
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