Moore, Rodney Eric

Moore, Rodney Eric is an sole proprietor health care provider with primary practice located at 3500 Riverview Dr , Milton FL 32571-8602. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Moore, Rodney Eric can be contacted via phone (850) 292-2922.

Contact Information

Primary practice address
3500 Riverview Dr Milton FL 32571-8602
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH-4896 Florida

Profile Details

NPI number 1164671996
LBN Legal business name Moore, Rodney Eric
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2008
Last updated Sep 17th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164671996 NPPES
Florida MEDICAID 767242000

Popular Providers