CHARLOTTE MOORE MAULL NPI 1629063292

NPI Information

NPI: 1629063292
Provider Name: CHARLOTTE MOORE MAULL
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1215 VOLVO PKWY
STE 202
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 312-8550
Get Directions

Charlotte Moore Maull is a mental health counselor in Chesapeake, VA. Charlotte Moore Maull NPI is 1629063292. 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:

1215 VOLVO PKWY
STE 202
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 312-8550
Fax: (757) 312-8553

The enumeration date for this NPI number is 9/20/2005 and was last updated on 7/8/2007.

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	101YM0800X	Counselor	Mental Health	0701001746	VIRGINIA	Yes
2	101YM0800X	Counselor	Mental Health	0812000813	VIRGINIA	X
3	106H00000X	Marriage & Family Therapist		0717000828	VIRGINIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	265827	OTHER	VIRGINIA	BCBS
2	5410738	MEDICAID	VIRGINIA

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

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