Doctor Name: | MS. GAY CAROL MOFFIT |
NPI Number: | 1023137361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0718000075 |
Business Practice Address: | 611 Mcdowell Ave Nw Roanoke, VA - 240161225 |
Business Phone Number: | 5403432425 |
Business Fax Number: | 5403439543 |
Mailing Address: | 611 Mcdowell Ave Nw, ROANOKE |
State: | VA |
Postal Code: | 240161225 |
Phone Number: | 5403432425 |
Fax Number: | 5403439543 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 06/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0718000075 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |