Timothy Howard Moore in Decatur - Counselor

Timothy Howard Moore - NPI 1144494881

Timothy Howard Moore is a Counselor in Decatur, Illinois. Timothy Howard Moore practices all healthcare services and medical treatments related to Counselor. The NPI Number for Timothy Howard Moore is 1144494881. The last update date is 2008-04-14.

Timothy Howard Moore's current location address is 3040 N University Ave, Decatur, Illinois. You can contact this provider via phone number 2178721700 and fax number 2178721366. The mailing address for Timothy Howard Moore is 3040 N University Ave, Decatur, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Howard Moore
Address 3040 N University Ave, Decatur, Illinois
Phone Number 2178721700
Fax Number 2178721366
Sole Proprietor Y
Credentials L.P.C.

NPI Number Detail

NPI Number 1144494881
Provider Enumeration Date 2008-04-14
Last Updated Date 2008-04-14

Provider Mailing Address Detail

Address 3040 N University Ave
City Decatur
State Illinois (IL)
Post Code 625261391
Phone Number 2178721700
Fax Number 2178721366

Provider's Primary Taxonomy Detail

Speciality Counselor
Taxonomy 101Y00000X
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

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FAQs about Timothy Howard Moore

What is the Timothy Howard Moore's unique identification number?

The Timothy Howard Moore has been assigned the NPI (National Provider Identifier) Number 1144494881 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Timothy Howard Moore?

The Timothy Howard Moore is physically situated at 3040 N University Ave, in the city of Decatur, state of IL, with the postal code 625261391.

What is Timothy Howard Moore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Timothy Howard Moore is Counselor, and the corresponding taxonomy classification code for this specialized field is 101Y00000X.

On what date was the 1144494881 assigned to Timothy Howard Moore?

The Timothy Howard Moore was issued its 1144494881 on 2008-04-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Timothy Howard Moore most recently updated or revised?

The details related to Timothy Howard Moore, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-14.

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