Tanya Moore, LPCC | |
115 Rockwood Ln, Hazard, KY 41701-9415 | |
(606) 436-5761 | |
(606) 436-5797 |
Full Name | Tanya Moore |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 115 Rockwood Ln, Hazard, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588038129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 246344 (Kentucky) | Primary |
Entity Name | Md Moore Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992422802 PECOS PAC ID: 6901278258 Enrollment ID: O20230214001853 |
Mailing Address | Practice Location Address |
---|---|
Tanya Moore, LPCC 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (606) 436-5761 | Tanya Moore, LPCC 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (606) 436-5761 |
Pamela Sorrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 | |
Ms. Deborah Eversole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 194 Boh Ln, Hazard, KY 41701 Phone: 606-551-1140 Fax: 606-435-7558 | |
Katelyn Fugate, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 | |
Micah Watson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-435-0817 | |
Ruth Darland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 | |
Katrina Sturgill, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797 | |
Krista Ann Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 48 Independence Dr, Hazard, KY 41701 Phone: 606-487-1646 |