Breanne Moore, LMFT is a
Marriage & Family Therapist based in Portland, Tennessee. Breanne Moore is licensed to practice in California (license number LMFT109213) and her current practice location is
1063 Deasy Ln, Portland, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(951) 532-6008.
NPI number for Breanne Moore is 1821530627 and her current mailing address is 1063 Deasy Ln, Portland, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821530627.
Healthcare Provider's Profile
Full Name | Breanne Moore |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1063 Deasy Ln, Portland, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821530627
- Provider Enumeration Date: 11/09/2016
- Last Update Date: 02/13/2023
Medical Identifiers
Medical identifiers for Breanne Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821530627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 1934 (Tennessee) | Secondary |
106H00000X | Marriage & Family Therapist | LMFT109213 (California) | Primary |
106H00000X | Marriage & Family Therapist | IMF95818 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanne Moore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Breanne Moore, LMFT 1063 Deasy Ln, Portland, TN 37148-2232 Ph: (951) 532-6008 | Breanne Moore, LMFT 1063 Deasy Ln, Portland, TN 37148-2232 Ph: (951) 532-6008 |
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