JENNIFER L MOORE LMFT LLC NPI 1679115414

NPI Information

JENNIFER L MOORE, LMFT, LLC is an adult mental health clinic center in Evans, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. JENNIFER L MOORE, LMFT, LLC NPI is 1679115414. The provider is registered as an organization entity type.

The provider's business location address is:

601 N BELAIR SQ STE 2
EVANS, GA
ZIP 30809-322
Phone: (706) 619-1286
Fax: (803) 792-4055

The provider's authorized official is Jennifer Lee Moore .
The authorized official title is Owner and has the following contact phone number (864) 398-9418.

The enumeration date for this NPI number is 10/14/2019 and was last updated on 5/25/2021.

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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