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JUSTIN MOORE LMFT NPI 1437689122


NPI Information

NPI: 1437689122
Provider Name: JUSTIN MOORE, LMFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
2704 N OAK ST BLDG J
VALDOSTA, GA
ZIP 31602
Phone: (229) 262-7333
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Justin Moore, LMFT is a marriage family therapist in Valdosta, GA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Justin Moore, LMFT NPI is 1437689122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2704 N OAK ST BLDG J
VALDOSTA, GA
ZIP 31602-768
Phone: (229) 262-7333
Fax: (229) 262-7335

The enumeration date for this NPI number is 6/14/2017 and was last updated on 2/21/2023.


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
1171W00000XContractorNo
2106H00000XMarriage & Family TherapistMFT001759GEORGIAYes

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: 5/5/2024

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