Moore-Russell, Doris Ann
Moore-Russell, Doris Ann is an individual health care provider with primary practice located at 111 Lamon St Suite 212, Fayetteville NC 28301-4957. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moore-Russell, Doris Ann can be contacted via phone (910) 429-2222.Contact Information
Primary practice address
111 Lamon St Suite 212
Fayetteville NC 28301-4957
Phone: (910) 429-2222
Fax: (910) 429-2222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004369 | North Carolina |
Profile Details
| NPI number | 1255321592 |
|---|---|
| LBN Legal business name | Moore-Russell, Doris Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255321592 | NPPES |
| North Carolina | Other | 365036 | MANAGED HEALTH NETWORK |
| North Carolina | MEDICAID | 6002914 | MANAGED HEALTH NETWORK |
| North Carolina | Other | 136AJ | MANAGED HEALTH NETWORK |
| North Carolina | Other | 522556 | MANAGED HEALTH NETWORK |
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