Moore, Sonya Glyn

Moore, Sonya Glyn is an sole proprietor health care provider with primary practice located at 400 W 1St North St Ste D , Morristown TN 37814-4617. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Moore, Sonya Glyn can be contacted via phone (828) 335-2310.

Contact Information

Primary practice address
400 W 1St North St Ste D Morristown TN 37814-4617
Phone: (828) 335-2310
Fax: (423) 266-5101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X LDC0000001260 Tennessee

Profile Details

NPI number 1255736153
LBN Legal business name Moore, Sonya Glyn
Credentials M.S. , LADAC II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2014
Last updated Jul 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255736153 NPPES
Tennessee MEDICAID Q028453

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