MRS. STEPHANIE JADE MOORE ADC NPI 1386113421

NPI Information

NPI: 1386113421
Provider Name: MRS. STEPHANIE JADE MOORE, ADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1104 VINE STREET
BATESVILLE, AR
ZIP 72501
Phone: (870) 613-6624
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MRS. Stephanie Jade Moore, ADC is an addiction (substance use disorder) counselor in Batesville, AR. MRS. Stephanie Jade Moore, ADC NPI is 1386113421. 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:

1104 VINE STREET
BATESVILLE, AR
ZIP 72501-638
Phone: (870) 613-6624

The enumeration date for this NPI number is 11/19/2018 and was last updated on 11/19/2018.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1641	ARKANSAS	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

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