Sheronda Chantell Moore, MSOT, OTR/L - in Fort Wayne, IN

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Sheronda Chantell Moore, MSOT, OTR/L is a Counselor - Mental Health based in Fort Wayne, Indiana. Sheronda Chantell Moore is licensed to practice in Indiana (license number 88001256A) and her current practice location is 7136 Gettysburg Pike, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at (260) 745-3322.

NPI number for Sheronda Chantell Moore is 1730544842 and her current mailing address is 8040 Upland Ct, Indianapolis, Indiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730544842.

Contact Information

Sheronda Chantell Moore, MSOT, OTR/L
7136 Gettysburg Pike,
Fort Wayne, IN 46804-5680
(260) 745-3322
Not Available

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Healthcare Provider's Profile

Full NameSheronda Chantell Moore
GenderFemale
SpecialityCounselor - Mental Health
Location7136 Gettysburg Pike, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730544842
  • Provider Enumeration Date: 12/17/2015
  • Last Update Date: 03/29/2024

Medical Identifiers

Medical identifiers for Sheronda Chantell Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730544842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 9065 (North Carolina)Secondary
225X00000XOccupational Therapist 3992 (South Carolina)Secondary
101YM0800XCounselor - Mental Health 88001256A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sheronda Chantell Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sheronda Chantell Moore, MSOT, OTR/L
8040 Upland Ct,
Indianapolis, IN 46278-9585

Ph: (803) 837-2652		Sheronda Chantell Moore, MSOT, OTR/L
7136 Gettysburg Pike,
Fort Wayne, IN 46804-5680

Ph: (260) 745-3322

Reviews and Comments



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