MISS DELORES REGINA MOORE LICDC NPI 1558452201

NPI Information

NPI: 1558452201
Provider Name: MISS DELORES REGINA MOORE, LICDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1655 HOLLAND RD STE F
MAUMEE, OH
ZIP 43537
Phone: (833) 510-4357
Get Directions

MISS Delores Regina Moore, LICDC is an addiction (substance use disorder) counselor in Maumee, OH. MISS Delores Regina Moore, LICDC NPI is 1558452201. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1655 HOLLAND RD STE F
MAUMEE, OH
ZIP 43537-656
Phone: (833) 510-4357

The enumeration date for this NPI number is 9/27/2006 and was last updated on 1/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LICDC.161594	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »