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
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
Provider Enumeration Date 2007-09-17
Last Updated Date 2023-08-15

Provider Mailing Address Detail

Address 6454 Bridgewood Rd
City Columbia
State South Carolina (SC)
Post Code 292062126
Phone Number 8035005065
Fax Number 8035005065

Provider's Primary Taxonomy Detail

Speciality Mental Health
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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FAQs about Charlene Annette Moore-Peterson

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.

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