Moore, Ladena Carol
Moore, Ladena Carol is an individual health care provider with primary practice located at 212 S E 1St , Pryor OK 74361. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Moore, Ladena Carol can be contacted via phone (918) 825-4115.Contact Information
Primary practice address
212 S E 1St
Pryor OK 74361
Phone: (918) 825-4115
Fax: (918) 825-6612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3702 | Oklahoma |
Profile Details
| NPI number | 1083945208 |
|---|---|
| LBN Legal business name | Moore, Ladena Carol |
| Credentials | LPC NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2010 |
| Last updated | Jan 28th, 2010 - about 15 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 | 1083945208 | NPPES |
| Oklahoma | MEDICAID | 100732380F |
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