| Doctor Name: | MRS. MONJE MICHELE DEAS-MOORE |
| NPI Number: | 1578860342 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 002839-1 |
| Business Practice Address: | 40 Main St Westhampton Beach, NY - 119782673 |
| Business Phone Number: | 6312881955 |
| Business Fax Number: | |
| Mailing Address: | 18 Grace Ct, RONKONKOMA |
| State: | NY |
| Postal Code: | 117794516 |
| Phone Number: | 6315856405 |
| Fax Number: | |
| NPI Enumeration Date: | 02/14/2011 |
| NPI Last Update Date: | 09/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 002839-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |