Moore Mental Health Services, Corporation

LBN: Moore Mental Health Services, Corporation
Moore Mental Health Services, Corporation is an health care organization with primary practice located at 2394 Charleston Oaks Ln , Decatur GA 30030-1451. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Moore Mental Health Services, Corporation can be contacted via phone (404) 377-4706, or through Klinkhammer-Moore, Erna H via phone (404) 377-4706.

Contact Information

Primary practice address
2394 Charleston Oaks Ln Decatur GA 30030-1451
Fax: (404) 377-4174
Website:
Authorized official contact:
Name: Klinkhammer-Moore, Erna H Licensed Clinical Social Worker (LCSW)

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW002089 Georgia

Profile Details

NPI number 1568569135
LBN Legal business name Moore Mental Health Services, Corporation
DBA Doing business as
Authorized official Klinkhammer-Moore, Erna H Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2006
Last updated Mar 2nd, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568569135 NPPES
Georgia MEDICAID 055003553A

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