Moore, Christardra

Moore, Christardra is an sole proprietor health care provider with primary practice located at 4800 S Grand St , Monroe LA 71202-6412. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moore, Christardra can be contacted via phone (318) 362-3339.

Contact Information

Primary practice address
4800 S Grand St Monroe LA 71202-6412
Phone: (318) 362-3339
Fax: (318) 362-3336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A0305049 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X P0704014 Arkansas
Behavioral Health & Social Service Providers / Professional 101YP2500X 4636 Louisiana

Profile Details

NPI number 1942269394
LBN Legal business name Moore, Christardra
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2006
Last updated Aug 30th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942269394 NPPES
Louisiana MEDICAID 3758342

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