Sandi Moore in Idabel - Addiction (substance Use Disorder)

Sandi Moore - NPI 1295910685

Sandi Moore is a Addiction (substance Use Disorder) in Idabel, Oklahoma. Sandi Moore practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Sandi Moore is 1295910685. The last update date is 2016-04-04.

Sandi Moore's current location address is 187 Butler Pool Rd, Idabel, Oklahoma. You can contact this provider via phone number 5806122112 and fax number 8669887664. The mailing address for Sandi Moore is 187 Butler Pool Rd, Idabel, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Sandi Moore
Address 187 Butler Pool Rd, Idabel, Oklahoma
Phone Number 5806122112
Fax Number 8669887664
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1295910685
Provider Enumeration Date 2008-01-03
Last Updated Date 2016-04-04

Provider Mailing Address Detail

Address 187 Butler Pool Rd
City Idabel
State Oklahoma (OK)
Post Code 747455793
Phone Number 5806122112
Fax Number 8669887664

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Sandi Moore

What is the unique provider identifier assigned to Sandi Moore?

The Sandi Moore has been issued the NPI (National Provider Identifier) 1295910685 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Sandi Moore is physically located?

The Sandi Moore is situated at the following address: 187 Butler Pool Rd, Idabel, OK 747455793.

What is Sandi Moore's specialized field of practice, and what is the corresponding taxonomy classification code?

The Sandi Moore's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1295910685 to Sandi Moore?

The Sandi Moore received its 1295910685 assignment from the Centers for Medicare & Medicaid Services on 2008-01-03.

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

The details related to Sandi Moore, including its address, specialty, and other relevant information, were last updated or revised on 2016-04-04.

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