| Mrs Keisha Mccleese Moore, LPC | |
|
2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | |
| (336) 861-9243 | |
| Not Available |
| Full Name | Mrs Keisha Mccleese Moore |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2962 Youth Unlimited Dr, Sophia, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336543776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | A10870 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Keisha Mccleese Moore, LPC 1052 Glenmont Rd, Winston Salem, NC 27107-1561 Ph: (336) 978-4911 | Mrs Keisha Mccleese Moore, LPC 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 Ph: (336) 861-9243 |
Frank David Mullins, M.A., LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2962 Youth Unlimited Dr, Sophia, NC 27350 Phone: 336-289-9360 Fax: 336-861-9253 | |
Ms. Debra Lanier Tatum, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6658 Flint Hill Rd, Sophia, NC 27350 Phone: 828-260-5518 |