| Alliance Mental Health, Llc | |
|
7 Brookview Dr Atco NJ 08004-2931 | |
| (267) 825-5478 | |
| Not Available |
| Full Name | Alliance Mental Health, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7 Brookview Dr, Atco, New Jersey |
| Authorized Official Name and Position | Nicholas M Moore (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2678255478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Mental Health, Llc 7 Brookview Dr Atco NJ 08004-2931 Ph: (267) 825-5478 | Alliance Mental Health, Llc 7 Brookview Dr Atco NJ 08004-2931 Ph: (267) 825-5478 |
| NPI Number | 1427734714 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 09/25/2024 |
| Certification Date | 09/25/2024 |
| Medicare PECOS PAC ID | 9234587593 |
|---|---|
| Medicare Enrollment ID | O20231127002123 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427734714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nicholas M Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336795509 PECOS PAC ID: 1355670472 Enrollment ID: I20200818003415 |
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