Angela Jannette Moore in Dora - Addiction (substance Use Disorder)
Angela Jannette Moore - NPI 1609071109
Angela Jannette Moore is a Addiction (substance Use Disorder) in Dora, Alabama. Angela Jannette Moore practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Angela Jannette Moore is 1609071109. The last update date is 2021-12-15.
Angela Jannette Moore's current location address is 2165 Highway 78, Dora, Alabama. You can contact this provider via phone number 2056484567 and fax number 2056484551. The mailing address for Angela Jannette Moore is 2165 Highway 78, Dora, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Angela Jannette Moore |
|---|---|
| Address | 2165 Highway 78, Dora, Alabama |
| Phone Number | 2056484567 |
| Fax Number | 2056484551 |
| Sole Proprietor | Y |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1609071109 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 2165 Highway 78 |
|---|---|
| City | Dora |
| State | Alabama (AL) |
| Post Code | 350624548 |
| Phone Number | 2056484567 |
| Fax Number | 2056484551 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 2425 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 515-41132 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Angela Jannette Moore by the Centers for Medicare & Medicaid Services?
The Angela Jannette Moore has been assigned the NPI (National Provider Identifier) 1609071109. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Angela Jannette Moore is located?
The Angela Jannette Moore is situated at the following address: 2165 Highway 78, Dora, AL, 350624548.
What is Angela Jannette Moore's area of expertise and its corresponding taxonomy classification?
The Angela Jannette Moore's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
When did the Angela Jannette Moore receive its 1609071109?
The Angela Jannette Moore was issued its 1609071109 on 2007-06-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding Angela Jannette Moore most recently updated?
The details pertaining to the Angela Jannette Moore, including its address, specialty, and other relevant information, were last refreshed on 2021-12-15.