Moore Reynolds, Shauna

Moore Reynolds, Shauna is an sole proprietor health care provider with primary practice located at 11785 Beltsville Dr Ste 120 , Calverton MD 20705-3121. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moore Reynolds, Shauna can be contacted via phone (240) 389-1487.

Contact Information

Primary practice address
11785 Beltsville Dr Ste 120 Calverton MD 20705-3121
Phone: (240) 389-1487
Fax: (240) 389-1463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X PCR14291 District of Columbia
Behavioral Health & Social Service Providers / Professional 101YP2500X PRC14291 District of Columbia
Behavioral Health & Social Service Providers / Counselor 101Y00000X PCR14291 District of Columbia
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC4866 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC4866 Maryland
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LC4866 Maryland
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X PCR14291 District of Columbia
Behavioral Health & Social Service Providers / Professional 101YP2500X LC4866 Maryland

Profile Details

NPI number 1477809119
LBN Legal business name Moore Reynolds, Shauna
Credentials ED.D., NCC,LPC, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2012
Last updated Feb 7th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477809119 NPPES
Maryland MEDICAID 0647632P0000

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