Moord, Alyssia J.
Moord, Alyssia J. is an individual health care provider with primary practice located at 677 East Main Street Suite A, Centreville MI 49032. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moord, Alyssia J. can be contacted via phone (269) 467-1000.Contact Information
Primary practice address
677 East Main Street Suite A
Centreville MI 49032
Phone: (269) 467-1000
Fax: (269) 467-3075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801092835 | Michigan |
Profile Details
| NPI number | 1902152945 |
|---|---|
| LBN Legal business name | Moord, Alyssia J. |
| Credentials | LLMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2012 |
| Last updated | Jul 27th, 2012 - about 14 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 | 1902152945 | NPPES |
| Michigan | MEDICAID | 1708146 |
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