Moore, Charleszetta

Moore, Charleszetta is an sole proprietor health care provider with primary practice located at 4409 Disraeli Dr Apt 5101 , Fort Worth TX 76119-5851. She recently has 6 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Contractor, Other Service Providers / Community Health Worker, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Day Training/Habilitation Specialist, Agencies / Case Management. Agencies / Case Management is her primary health care specialty. Moore, Charleszetta can be contacted via phone (817) 585-0664.

Contact Information

Primary practice address
4409 Disraeli Dr Apt 5101 Fort Worth TX 76119-5851
Phone: (817) 585-0664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Texas
Other Service Providers / Contractor 171W00000X Texas
Other Service Providers / Community Health Worker 172V00000X Texas
Nursing Service Related Providers / Adult Companion 372600000X Texas
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X Texas
Agencies / Case Management 251B00000X Texas

Profile Details

NPI number 1487361341
LBN Legal business name Moore, Charleszetta
Credentials QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2022
Last updated Nov 1st, 2022 - about 2 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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