| Moore Professional Counseling, Llc | |
|
200 Leake St Ste 106 Cartersville GA 30120-3562 | |
| (470) 433-5048 | |
| Not Available |
| Full Name | Moore Professional Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 200 Leake St Ste 106, Cartersville, Georgia |
| Authorized Official Name and Position | Courtney King Moore (LPC) |
| Authorized Official Contact | 4704335048 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moore Professional Counseling, Llc 200 Leake St Ste 106 Cartersville GA 30120-3562 Ph: (470) 433-5048 | Moore Professional Counseling, Llc 200 Leake St Ste 106 Cartersville GA 30120-3562 Ph: (470) 433-5048 |
| NPI Number | 1831724384 |
|---|---|
| Provider Enumeration Date | 03/05/2020 |
| Last Update Date | 08/05/2020 |
| Certification Date | 08/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831724384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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