Moore, Taylor Nicole
Moore, Taylor Nicole is an individual health care provider with primary practice located at 1600 Sutter Pl , Clovis NM 88101-4611. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Moore, Taylor Nicole can be contacted via phone (575) 769-4490.Contact Information
Primary practice address
1600 Sutter Pl
Clovis NM 88101-4611
Phone: (575) 769-4490
Fax: (575) 769-4330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SWB-2024-0306 | New Mexico |
| Behavioral Health & Social Service Providers / School | 1041S0200X | M-11007 | New Mexico |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M-11007 | New Mexico |
Profile Details
| NPI number | 1619515996 |
|---|---|
| LBN Legal business name | Moore, Taylor Nicole |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2019 |
| Last updated | Apr 23rd, 2024 - about last year |
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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