Individual ProviderShelly-Ann Michelle MosesCounselorBehavioral Health & Social Service ProvidersPractice Address1820 Highway 20 SE Ste 114, Conyers, GA 30013-2076(770) 648-3433PECOS EnrollmentBased on the most recent information from CMS, provider Shelly-Ann Michelle Moses does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1225664600Provider TypeIndividualFull NameMoses, Shelly-Ann MichelleCredentialLPCGenderFemaleSole ProprietorYesEnumeration Date3/18/2020Last Updated8/4/2025Contact InformationPractice LocationPractice Address1820 Highway 20 SE Ste 114, Conyers, GA 30013-2076Phone(770) 648-3433FaxUnlisted FaxMailing LocationMailing Address1820 Highway 20 SE Ste 114, Conyers, GA 30013-2076Phone(770) 648-3433FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC015347GeorgiaCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1144528787DescriptionMedicaidIssuerUnlistedGeorgia