| Angela Moore Counseling Llc | |
|
2165 Hwy 78 Ste 100 Dora AL 35062 | |
| (205) 648-4567 | |
| (205) 648-4551 |
| Full Name | Angela Moore Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2165 Hwy 78, Dora, Alabama |
| Authorized Official Name and Position | Angela J Moore (MEMBER) |
| Authorized Official Contact | 2053657699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Moore Counseling Llc 5484 Littleton Kilgore Rd Dora AL 35062 Ph: (205) 365-7699 | Angela Moore Counseling Llc 2165 Hwy 78 Ste 100 Dora AL 35062 Ph: (205) 648-4567 |
| NPI Number | 1316279334 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 11/21/2023 |
| Certification Date | 12/07/2022 |
| Medicare PECOS PAC ID | 3971948365 |
|---|---|
| Medicare Enrollment ID | O20240226000470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316279334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2425 (Alabama) | Primary |
| Provider Name | Angela Jannette Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609071109 PECOS PAC ID: 4880039270 Enrollment ID: I20240226000538 |
Bloom Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6958 Brightwell Ln, Dora, AL 35062 Phone: 334-357-9183 |