Moore, Carrie L
Moore, Carrie L is an sole proprietor health care provider with primary practice located at 157 S Kalamazoo Mall 250, Kalamazoo MI 49007-4877. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moore, Carrie L can be contacted via phone (269) 383-1440.Contact Information
Primary practice address
157 S Kalamazoo Mall 250
Kalamazoo MI 49007-4877
Phone: (269) 383-1440
Fax: (269) 383-9781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6801062534 | Michigan |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C-02372 | Michigan |
Profile Details
| NPI number | 1518907229 |
|---|---|
| LBN Legal business name | Moore, Carrie L |
| Credentials | MA, LMSW, CAAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Apr 21st, 2010 - about 14 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 | 1518907229 | NPPES |
| Michigan | Other | 6801062534 | LMSW |
| Michigan | Other | C-02372 | LMSW |
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