Organization Name: | SANDI MOORE-BEINORAS COUNSELING |
NPI Number: | 1295106888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDI MOORE-BEINORAS (OWNER) |
Mailing Address: | 25 Country Club Rd, Suite 601 Gilford |
State: | NH US |
Postal Code: | 03249 |
Phone Number: | 6034553437 |
Fax Number: | 6035240718 |
NPI Enumeration Date: | 10/08/2015 |
NPI Last Update Date: | 10/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | 034278-23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |