Moore, Rita D

Moore, Rita D is an individual health care provider with primary practice located at 10900 Nuckols Rd Ste 100 , Glen Allen VA 23060-9277. 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, Rita D can be contacted via phone (804) 207-6737.

Contact Information

Primary practice address
10900 Nuckols Rd Ste 100 Glen Allen VA 23060-9277
Phone: (804) 207-6737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 070100583 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 070100583 Virginia

Profile Details

NPI number 1407271836
LBN Legal business name Moore, Rita D
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2014
Last updated Nov 4th, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1407271836 NPPES
Virginia MEDICAID 30016134320003

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