Doctor Name: | ELIZABETH MOORE |
NPI Number: | 1740640671 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LPC006535 |
Business Practice Address: | 8221 Willow Oaks Corporate Dr Ste 4-430 Fairfax, VA - 220314512 |
Business Phone Number: | 5716233545 |
Business Fax Number: | 7032894614 |
Mailing Address: | 8221 Willow Oaks Corporate Dr Ste 4-430, FAIRFAX |
State: | VA |
Postal Code: | 220314512 |
Phone Number: | 5716233545 |
Fax Number: | 7032894614 |
NPI Enumeration Date: | 03/04/2016 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC006535 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |