Moore, Colleen
Moore, Colleen is an individual health care provider with primary practice located at 474 W 200 N Suite 100, St George UT 84770-4505. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Colleen can be contacted via phone (435) 634-5600.Contact Information
Primary practice address
474 W 200 N Suite 100
St George UT 84770-4505
Phone: (435) 634-5600
Fax: (435) 986-8700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 120173-3501 | Utah |
Profile Details
| NPI number | 1194864579 |
|---|---|
| LBN Legal business name | Moore, Colleen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194864579 | NPPES |
| Utah | Other | 120173-3501 | STATE LICENSE |
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