Monique Moore Lmhc, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Yulee, FL. Organization (NPI-2).
NPI number1255175238
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1255175238
- Entity type
- Organization (NPI-2)
- Legal business name
- Monique Moore Lmhc, LLC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2024
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
86155 Courtney Isles WayYulee, FL 32097-3526
Phone 904-687-7731 · Fax 904-875-5088
Mailing address
Po Box 655Yulee, FL 32041-0655
Phone 904-687-7731
Authorized official
Monique S Moore
Manager
9044687731
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