Moore, Charlotte A

Moore, Charlotte A is an sole proprietor health care provider with primary practice located at 104 Crescent Dr , Lebanon MO 65536-3301. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moore, Charlotte A can be contacted via phone (417) 588-5885.

Contact Information

Primary practice address
104 Crescent Dr Lebanon MO 65536-3301
Phone: (417) 588-5885
Fax: (417) 588-4296
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2010032196 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X 2010032196 Missouri

Profile Details

NPI number 1073821963
LBN Legal business name Moore, Charlotte A
Credentials PLPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2010
Last updated Feb 11th, 2011 - about 13 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

Popular Providers