VICTORIA MOORE THERAPY PLLC NPI 1124510979

NPI Information

VICTORIA MOORE THERAPY PLLC is a mental health (including community mental health center) clinic center in Chicago, IL. VICTORIA MOORE THERAPY PLLC NPI is 1124510979. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Victoria Moore Therapy Llc.

The provider's business location address is:

53 W JACKSON BLVD STE 1360
CHICAGO, IL
ZIP 60604
Phone: (312) 809-0652
Fax: (312) 906-7927

The provider's authorized official is Te You Moore .
The authorized official title is Owner and has the following contact phone number (312) 809-0652.

The enumeration date for this NPI number is 6/6/2018 and was last updated on 8/21/2021.

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:

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