Moore, Angela D

Moore, Angela D is an individual health care provider with primary practice located at 109 Bee St , Charleston SC 29401-5703. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore, Angela D can be contacted via phone (843) 577-5011.

Contact Information

Primary practice address
109 Bee St Charleston SC 29401-5703
Phone: (843) 577-5011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15785 South Carolina

Profile Details

NPI number 1851645261
LBN Legal business name Moore, Angela D
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2012
Last updated Feb 12th, 2026 - about 8 months 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 1851645261 NPPES
South Carolina MEDICAID 1760596480

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