Moore, Cecily Renee

Moore, Cecily Renee is an individual health care provider with primary practice located at 15 Bent Twig Dr , Jackson TN 38305-6477. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moore, Cecily Renee can be contacted via phone (731) 394-4555.

Contact Information

Primary practice address
15 Bent Twig Dr Jackson TN 38305-6477
Phone: (731) 394-4555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 4522 Tennessee

Profile Details

NPI number 1962800102
LBN Legal business name Moore, Cecily Renee
Credentials LPC-MHSP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2014
Last updated Oct 18th, 2023 - about 3 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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