| Doctor Name: | DEBRA RUSSELL MOONEY |
| NPI Number: | 1023094729 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C-FNP |
| License Number: | 26602 |
| Business Practice Address: | 28 Mallard Ct Beckley, WV - 258013664 |
| Business Phone Number: | 3042528409 |
| Business Fax Number: | 3042520022 |
| Mailing Address: | Po Box 1025, BECKLEY |
| State: | WV |
| Postal Code: | 258021025 |
| Phone Number: | 3042528409 |
| Fax Number: | 3042520022 |
| NPI Enumeration Date: | 12/15/2005 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084P0802X |
| License Number: | 26602 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Addiction Psychiatry |
| Taxonomy Definition: | Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |