Demetris L Moore in Knoxville - Mental Health
Demetris L Moore - NPI 1407996879
Demetris L Moore is a Mental Health in Knoxville, Tennessee. Demetris L Moore practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Demetris L Moore is 1407996879. The last update date is 2012-05-02.
Demetris L Moore's current location address is 9111 Cross Park Drive Suite E475, Knoxville, Tennessee. You can contact this provider via phone number 8655602550 and fax number 8655602580. The mailing address for Demetris L Moore is 9111 Cross Park Drive Suite E475, Knoxville, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Demetris L Moore |
|---|---|
| Address | 9111 Cross Park Drive Suite E475, Knoxville, Tennessee |
| Phone Number | 8655602550 |
| Fax Number | 8655602580 |
| Sole Proprietor | N |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1407996879 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2012-05-02 |
Provider Mailing Address Detail
| Address | 9111 Cross Park Drive Suite E475 |
|---|---|
| City | Knoxville |
| State | Tennessee (TN) |
| Post Code | 37923 |
| Phone Number | 8655602550 |
| Fax Number | 8655602580 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identification code assigned to Demetris L Moore by the Centers for Medicare & Medicaid Services?
The Demetris L Moore has been issued the NPI (National Provider Identifier) 1407996879. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Demetris L Moore is physically located?
The Demetris L Moore is physically situated at the following address: 9111 Cross Park Drive Suite E475, Knoxville, TN, 37923.
What is the area of specialization for Demetris L Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Demetris L Moore is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did Demetris L Moore receive its 1407996879 assignment from the Centers for Medicare & Medicaid Services?
The Demetris L Moore was assigned its 1407996879 on 2007-02-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Demetris L Moore most recently updated or revised?
The details related to Demetris L Moore, including its address, specialty, and other relevant information, were last updated or revised on 2012-05-02.
NPI Number: 1912900614
Address: 3558 Jefferson St N Ste 1, Lewisburg, WV