Moore, Leesha
Moore, Leesha is an sole proprietor health care provider with primary practice located at 175 W Franklin Blvd , Gastonia NC 28052-4145. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Leesha can be contacted via phone (704) 865-3529.Contact Information
Primary practice address
175 W Franklin Blvd
Gastonia NC 28052-4145
Phone: (704) 865-3529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P00006986 | North Carolina |
Profile Details
| NPI number | 1750634416 |
|---|---|
| LBN Legal business name | Moore, Leesha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2012 |
| Last updated | Jun 30th, 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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