QUEEN SHANICE MOORE NPI 1780045237

NPI Information

NPI: 1780045237
Provider Name: QUEEN SHANICE MOORE
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
8 SUMMER ST
FITCHBURG, MA
ZIP 01420
Phone: (774) 633-9009
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Queen Shanice Moore is an addiction (substance use disorder) counselor in Fitchburg, MA. Queen Shanice Moore NPI is 1780045237. 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:

8 SUMMER ST
FITCHBURG, MA
ZIP 01420-717
Phone: (774) 633-9009

The enumeration date for this NPI number is 3/11/2016 and was last updated on 2/5/2024.

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	LMHC10001663	MASSACHUSETTS	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18677	MASSACHUSETTS	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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