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 11 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