Moore, Queen Shanice

Moore, Queen Shanice is an sole proprietor health care provider with primary practice located at 8 Summer St , Fitchburg MA 01420-5717. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Moore, Queen Shanice can be contacted via phone (774) 633-9009.

Contact Information

Primary practice address
8 Summer St Fitchburg MA 01420-5717
Phone: (774) 633-9009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC10001663 Massachusetts
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18677 Massachusetts

Profile Details

NPI number 1780045237
LBN Legal business name Moore, Queen Shanice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 11th, 2016
Last updated Feb 5th, 2024 - about last year

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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