Julia S Moore, LPC | |
460 Langdon St, Spartanburg, SC 29302-1614 | |
(864) 582-2411 | |
(864) 764-1336 |
Full Name | Julia S Moore |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 460 Langdon St, Spartanburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114953288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 637 (South Carolina) | Secondary |
101YP2500X | Counselor - Professional | 3800 (South Carolina) | Primary |
Entity Name | Regenesis Organization Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194710426 PECOS PAC ID: 8022928001 Enrollment ID: O20050127000120 |
Entity Name | Regenesis Organization Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548528714 PECOS PAC ID: 8022928001 Enrollment ID: O20160816002916 |
Entity Name | Regenesis Organization Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457745952 PECOS PAC ID: 8022928001 Enrollment ID: O20170127000968 |
Entity Name | Regenesis Organization Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982248852 PECOS PAC ID: 8022928001 Enrollment ID: O20210120001241 |
Entity Name | Regenesis Organization Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558946376 PECOS PAC ID: 8022928001 Enrollment ID: O20220630000562 |
Mailing Address | Practice Location Address |
---|---|
Julia S Moore, LPC Po Box 5158, Spartanburg, SC 29304-5158 Ph: () - | Julia S Moore, LPC 460 Langdon St, Spartanburg, SC 29302-1614 Ph: (864) 582-2411 |
Mr. Edmund Jackson Scott Jr., LMFT-I, CAC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 W Broad St Ste 200, Spartanburg, SC 29306 Phone: 864-707-2801 | |
Mrs. Katrina Hope Hereford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Candace Soddu Quinn, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Dillon Drive, Spartanburg, SC 29307 Phone: 864-582-7588 Fax: 864-562-4117 | |
Mark R. Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 E Saint John St, Spartanburg, SC 29302 Phone: 864-707-1953 | |
Mrs. Beverly B Shelton, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 W Broad St, Spartanburg, SC 29306 Phone: 864-582-7588 Fax: 864-582-0431 | |
James Alva Young Jr., MA, CACP Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 W Broad St, Spartanburg, SC 29306 Phone: 864-582-7588 Fax: 864-582-0431 | |
Tomondra Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 |