JUANESE MOORE LPC NPI 1770067498

NPI Information

NPI: 1770067498
Provider Name: JUANESE MOORE, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
4500 HUGH HOWELL RD STE 620D
TUCKER, GA
ZIP 30084
Phone: (770) 609-7288
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Juanese Moore, LPC is a mental health counselor in Tucker, GA. Juanese Moore, LPC NPI is 1770067498. 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:

4500 HUGH HOWELL RD STE 620D
TUCKER, GA
ZIP 30084-720
Phone: (770) 609-7288
Fax: (470) 777-2790

The enumeration date for this NPI number is 9/18/2018 and was last updated on 3/25/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LPC010471	GEORGIA	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: 11/14/2023

NPI Synchronization or Removal

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