Moore Mental Health Services, Corporation in Decatur - Clinical
Moore Mental Health Services, Corporation - NPI 1568569135
Moore Mental Health Services, Corporation is a Clinical in Decatur, Georgia. Moore Mental Health Services, Corporation practices all healthcare services and medical treatments related to Clinical. The NPI Number for Moore Mental Health Services, Corporation is 1568569135. The last update date is 2013-03-02.
Moore Mental Health Services, Corporation's current location address is 2394 Charleston Oaks Ln, Decatur, Georgia. You can contact this provider via phone number 4043774706 and fax number 4043774174. The mailing address for Moore Mental Health Services, Corporation is 2394 Charleston Oaks Ln, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Moore Mental Health Services, Corporation |
|---|---|
| Address | 2394 Charleston Oaks Ln, Decatur, Georgia |
| Phone Number | 4043774706 |
| Fax Number | 4043774174 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Klinkhammer-Moore H Erna |
| Credentials | LCSW |
| Telephone Number | 4043774706 |
NPI Number Detail
| NPI Number | 1568569135 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2013-03-02 |
Provider Mailing Address Detail
| Address | 2394 Charleston Oaks Ln |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300301451 |
| Phone Number | 4043774706 |
| Fax Number | 4043774174 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW002089 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 055003553A | GA | -- |
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What is the Moore Mental Health Services, Corporation's 1568569135?
The Moore Mental Health Services, Corporation's NPI (National Provider Identifier) Number is 1568569135. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Moore Mental Health Services, Corporation's physical address?
The Moore Mental Health Services, Corporation is physically located at 2394 Charleston Oaks Ln, in the city of Decatur, GA, with the postal code 300301451.
What is Moore Mental Health Services, Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Moore Mental Health Services, Corporation is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did Moore Mental Health Services, Corporation receive its 1568569135 assignment from the Centers for Medicare & Medicaid Services?
The Moore Mental Health Services, Corporation was assigned its 1568569135 on 2006-09-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Moore Mental Health Services, Corporation most recently updated or revised?
The information pertaining to Moore Mental Health Services, Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-02.
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