Moore, Eileen Louise

Moore, Eileen Louise is an sole proprietor health care provider with primary practice located at 6268 Old Bethel Rd , Crestview FL 32536-5505. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Eileen Louise can be contacted via phone (850) 678-4411.

Contact Information

Primary practice address
6268 Old Bethel Rd Crestview FL 32536-5505
Phone: (850) 678-4411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9518
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH9518 Florida

Profile Details

NPI number 1053580258
LBN Legal business name Moore, Eileen Louise
Credentials MA, MS, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2008
Last updated Sep 12th, 2023 - about last year

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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