| Moore Counseling And Consultation Services Llc | |
|
108 Ruby Ln Vicksburg MS 39183-9227 | |
| (601) 529-6482 | |
| Not Available |
| Full Name | Moore Counseling And Consultation Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 108 Ruby Ln, Vicksburg, Mississippi |
| Authorized Official Name and Position | Jana Holmes-moore (OWNER / MANAGER) |
| Authorized Official Contact | 6015296482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Counseling And Consultation Services Llc 108 Ruby Ln Vicksburg MS 39183-9227 Ph: (601) 529-6482 | Moore Counseling And Consultation Services Llc 108 Ruby Ln Vicksburg MS 39183-9227 Ph: (601) 529-6482 |
| NPI Number | 1730642927 |
|---|---|
| Provider Enumeration Date | 04/13/2019 |
| Last Update Date | 04/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730642927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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