Charlene Annette Moore-Peterson in Columbia - Mental Health
Charlene Annette Moore-Peterson - NPI 1730375486
Charlene Annette Moore-Peterson is a Mental Health in Columbia, South Carolina. Charlene Annette Moore-Peterson practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Charlene Annette Moore-Peterson is 1730375486. The last update date is 2023-08-15.
Charlene Annette Moore-Peterson's current location address is 6454 Bridgewood Rd, Columbia, South Carolina. You can contact this provider via phone number 8035005065 and fax number 8035005065. The mailing address for Charlene Annette Moore-Peterson is 6454 Bridgewood Rd, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charlene Annette Moore-Peterson |
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Address | 6454 Bridgewood Rd, Columbia, South Carolina |
Phone Number | 8035005065 |
Fax Number | 8035005065 |
Sole Proprietor | N |
Credentials | ED.D, LPC |
NPI Number Detail
NPI Number | 1730375486 |
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Provider Enumeration Date | 2007-09-17 |
Last Updated Date | 2023-08-15 |
Provider Mailing Address Detail
Address | 6454 Bridgewood Rd |
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City | Columbia |
State | South Carolina (SC) |
Post Code | 292062126 |
Phone Number | 8035005065 |
Fax Number | 8035005065 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 6666 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
421504 | SC | -- |
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What is the Charlene Annette Moore-Peterson's 1730375486?
The Charlene Annette Moore-Peterson's NPI (National Provider Identifier) Number is 1730375486. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Charlene Annette Moore-Peterson's facilities are situated?
The facilities of Charlene Annette Moore-Peterson are physically located at the following address: 6454 Bridgewood Rd, Columbia, SC, 292062126.
What is Charlene Annette Moore-Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charlene Annette Moore-Peterson's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
When did the Charlene Annette Moore-Peterson receive its 1730375486?
The Charlene Annette Moore-Peterson was issued its 1730375486 on 2007-09-17, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Charlene Annette Moore-Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charlene Annette Moore-Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-08-15.