Moon, Andria

Moon, Andria is an individual health care provider with primary practice located at 1825 E Broadway St , Forrest City AR 72335-3409. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moon, Andria can be contacted via phone (870) 630-2328.

Contact Information

Primary practice address
1825 E Broadway St Forrest City AR 72335-3409
Phone: (870) 630-2328
Fax: (870) 630-2348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1710163985
LBN Legal business name Moon, Andria
Credentials THERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2008
Last updated Jan 17th, 2008 - about 16 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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