Endress, Michele Moore
Endress, Michele Moore is an sole proprietor health care provider with primary practice located at 1772 Century Blvd Ne , Atlanta GA 30345-3396. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Endress, Michele Moore can be contacted via phone (404) 248-1159.Contact Information
Primary practice address
1772 Century Blvd Ne
Atlanta GA 30345-3396
Phone: (404) 248-1159
Fax: (404) 248-9776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 1415 | Georgia |
Profile Details
| NPI number | 1558575563 |
|---|---|
| LBN Legal business name | Endress, Michele Moore |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558575563 | NPPES |
| Georgia | Other | 1415 | LICENSE NUMBER- LPC |
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