Moore, Camila A

Moore, Camila A is an individual health care provider with primary practice located at 122 Desoto Ave Ste 109 , Clarksdale MS 38614-4440. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moore, Camila A can be contacted via phone (662) 592-5397.

Contact Information

Primary practice address
122 Desoto Ave Ste 109 Clarksdale MS 38614-4440
Phone: (662) 592-5397
Fax: (662) 627-2442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1316426430
LBN Legal business name Moore, Camila A
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2018
Last updated Jun 15th, 2023 - about 2 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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