Moore, Angela Ellen

Moore, Angela Ellen is an sole proprietor health care provider with primary practice located at 824 Gum Branch Rd Ste O , Jacksonville NC 28540-6269. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moore, Angela Ellen can be contacted via phone (910) 381-3333.

Contact Information

Primary practice address
824 Gum Branch Rd Ste O Jacksonville NC 28540-6269
Phone: (910) 381-3333
Fax: (910) 989-0377
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X S5187 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X S5187 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X S5187 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X S5187 North Carolina
Behavioral Health & Social Service Providers / Social Worker 104100000X S5187 North Carolina

Profile Details

NPI number 1265533368
LBN Legal business name Moore, Angela Ellen
Credentials LCMHCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Feb 25th, 2020 - about 4 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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