Moore, Amy L

Moore, Amy L is an sole proprietor health care provider with primary practice located at 307 High St , Maryville TN 37804-5847. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Amy L can be contacted via phone (865) 659-0834.

Contact Information

Primary practice address
307 High St Maryville TN 37804-5847
Fax: (865) 379-2869
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW0000003838 Tennessee

Profile Details

NPI number 1497887996
LBN Legal business name Moore, Amy L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2007
Last updated Jul 8th, 2007 - about 17 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 1497887996 NPPES
Tennessee Other 2024851 CIGNA BEHAVIORAL HEALTH
Tennessee Other 3097277 CIGNA BEHAVIORAL HEALTH

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