Moore, Elisabeth J

Moore, Elisabeth J is an sole proprietor health care provider with primary practice located at 1732 Kingsley Ave Suite 1, Orange Park FL 32073-4412. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moore, Elisabeth J can be contacted via phone (904) 269-2931.

Contact Information

Primary practice address
1732 Kingsley Ave Suite 1 Orange Park FL 32073-4412
Phone: (904) 269-2931
Fax: (904) 269-2931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH0002430 Florida

Profile Details

NPI number 1881659183
LBN Legal business name Moore, Elisabeth J
Credentials MS, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Jul 9th, 2007 - about 19 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.

Request for update

Popular Providers