Michele Moore Endress in Atlanta - Counselor

Michele Moore Endress - NPI 1558575563

Michele Moore Endress is a Counselor in Atlanta, Georgia. Michele Moore Endress practices all healthcare services and medical treatments related to Counselor. The NPI Number for Michele Moore Endress is 1558575563. The last update date is 2007-07-08.

Michele Moore Endress's current location address is 1772 Century Blvd Ne, Atlanta, Georgia. You can contact this provider via phone number 4042481159 and fax number 4042489776. The mailing address for Michele Moore Endress is 1772 Century Blvd Ne, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Michele Moore Endress
Address 1772 Century Blvd Ne, Atlanta, Georgia
Phone Number 4042481159
Fax Number 4042489776
Sole Proprietor Y
Credentials L.P.C.

NPI Number Detail

NPI Number 1558575563
Provider Enumeration Date 2007-05-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1772 Century Blvd Ne
City Atlanta
State Georgia (GA)
Post Code 303453396
Phone Number 4042481159
Fax Number 4042489776

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
Licence No 1415
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 supe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1415 GA LICENSE NUMBER- LPC

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FAQs about Michele Moore Endress

What is the unique 10-digit identification code assigned to Michele Moore Endress by the Centers for Medicare & Medicaid Services?

The Michele Moore Endress has been issued the NPI (National Provider Identifier) 1558575563, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Michele Moore Endress?

The Michele Moore Endress is physically situated at 1772 Century Blvd Ne, in the city of Atlanta, state of GA, with the postal code 303453396.

What is the area of specialization for Michele Moore Endress, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michele Moore Endress is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1558575563 to Michele Moore Endress?

The Michele Moore Endress received its 1558575563 assignment from the Centers for Medicare & Medicaid Services on 2007-05-09.

As of what date were the details related to Michele Moore Endress most recently updated or revised?

The information pertaining to Michele Moore Endress, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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