| Moore Balanced Minds & Therapies | |
|
1170a E Gannon Dr Festus MO 63028-2604 | |
| (312) 581-9399 | |
| Not Available |
| Full Name | Moore Balanced Minds & Therapies |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1170a E Gannon Dr, Festus, Missouri |
| Authorized Official Name and Position | Jamie A Moore (PROVIDER/OWNER) |
| Authorized Official Contact | 3125819399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Balanced Minds & Therapies 1170a E Gannon Dr # A Festus MO 63028-2604 Ph: (312) 581-9399 | Moore Balanced Minds & Therapies 1170a E Gannon Dr Festus MO 63028-2604 Ph: (312) 581-9399 |
| NPI Number | 1548042294 |
|---|---|
| Provider Enumeration Date | 10/17/2023 |
| Last Update Date | 10/17/2023 |
| Certification Date | 10/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548042294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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