Moore, Brian Lee

Moore, Brian Lee is an individual health care provider with primary practice located at 400 Galleria Pkwy Se Suite 1500, Atlanta GA 30339-5980. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Moore, Brian Lee can be contacted via phone (770) 590-4441.

Contact Information

Primary practice address
400 Galleria Pkwy Se Suite 1500 Atlanta GA 30339-5980
Phone: (770) 590-4441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY001097 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSY001097 Georgia

Profile Details

NPI number 1538382908
LBN Legal business name Moore, Brian Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Jul 9th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538382908 NPPES
Georgia MEDICAID 68BBCSG

Popular Providers