Moore, Brenda

Moore, Brenda is an sole proprietor health care provider with primary practice located at 89-30 161T Street Sco Children And Family Services, Jamaica NY 11432. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Moore, Brenda can be contacted via phone (718) 674-7773.

Contact Information

Primary practice address
89-30 161T Street Sco Children And Family Services Jamaica NY 11432
Phone: (718) 674-7773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 26645 New York

Profile Details

NPI number 1679946214
LBN Legal business name Moore, Brenda
Credentials MHC, CASAC, FDLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2015
Last updated Jun 21st, 2021 - about 5 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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