Moffit, Gay Carol

Moffit, Gay Carol is an individual health care provider with primary practice located at 611 Mcdowell Ave Nw , Roanoke VA 24016-1225. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Moffit, Gay Carol can be contacted via phone (540) 343-2425.

Contact Information

Primary practice address
611 Mcdowell Ave Nw Roanoke VA 24016-1225
Phone: (540) 343-2425
Fax: (540) 343-9543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0701002813 Virginia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0718000075 Virginia

Profile Details

NPI number 1023137361
LBN Legal business name Moffit, Gay Carol
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2007
Last updated Jun 27th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023137361 NPPES
Virginia Other 11526884 CAQH
Virginia MEDICAID 4945263 CAQH

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