| Jennifer L Moore, Lmft, Llc | |
|
601 N Belair Sq Ste 2 Evans GA 30809-4322 | |
| (706) 619-1286 | |
| (803) 792-4055 |
| Full Name | Jennifer L Moore, Lmft, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 601 N Belair Sq Ste 2, Evans, Georgia |
| Authorized Official Name and Position | Jennifer Lee Moore (OWNER) |
| Authorized Official Contact | 8643989418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Moore, Lmft, Llc 601 N Belair Sq Ste 2 Evans GA 30809-4322 Ph: (706) 619-1286 | Jennifer L Moore, Lmft, Llc 601 N Belair Sq Ste 2 Evans GA 30809-4322 Ph: (706) 619-1286 |
| NPI Number | 1679115414 |
|---|---|
| Provider Enumeration Date | 10/14/2019 |
| Last Update Date | 05/25/2021 |
| Certification Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679115414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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