| James W. Moore, Iii | |
|
16 Plumer Cir Purvis MS 39475-8700 | |
| (601) 818-9375 | |
| Not Available |
| Full Name | James W. Moore, Iii |
|---|---|
| Speciality | Behavior Analyst |
| Location | 16 Plumer Cir, Purvis, Mississippi |
| Authorized Official Name and Position | James W. Moore (BEHAVIOR ANALYST) |
| Authorized Official Contact | 6018189375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James W. Moore, Iii 16 Plumer Cir Purvis MS 39475-8700 Ph: (601) 818-9375 | James W. Moore, Iii 16 Plumer Cir Purvis MS 39475-8700 Ph: (601) 818-9375 |
| NPI Number | 1174922710 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 08/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174922710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-02-0969 (Mississippi) | Primary |
South Mississippi State Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 823 Highway 589, Purvis, MS 39475 Phone: 601-794-0100 Fax: 601-794-0213 | |
Empowered Behavioral Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Plumer Cir, Purvis, MS 39475 Phone: 601-467-3423 | |
Sassafras Hill Counseling Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4824 Old Highway 11, Purvis, MS 39475 Phone: 601-264-9515 Fax: 601-271-6026 |