Moore, Latisha

Moore, Latisha is an individual health care provider with primary practice located at 209 Standard Ln Apt 403 , Virginia Beach VA 23462-3729. 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, Latisha can be contacted via phone (757) 305-5096.

Contact Information

Primary practice address
209 Standard Ln Apt 403 Virginia Beach VA 23462-3729
Phone: (757) 305-5096
Fax:
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 1245013184
LBN Legal business name Moore, Latisha
Credentials LPC, CSAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2023
Last updated Aug 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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