Moore, Alisha Marie
Moore, Alisha Marie is an individual health care provider with primary practice located at 3701 Lansdowne Drive Ashland, Ashland KY 41102. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Moore, Alisha Marie can be contacted via phone (606) 324-3005.Contact Information
Primary practice address
3701 Lansdowne Drive Ashland
Ashland KY 41102
Phone: (606) 324-3005
Fax: (606) 329-1530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 105832 | Kentucky |
Profile Details
| NPI number | 1114030822 |
|---|---|
| LBN Legal business name | Moore, Alisha Marie |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 7th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114030822 | NPPES |
| Other | 11754980 | CAQH | |
| Other | 000000321261 | CAQH | |
| MEDICAID | 7100283580 | CAQH |
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