Moore, Theola
Moore, Theola is an sole proprietor health care provider with primary practice located at 2700 Nw 62Nd St , Fort Lauderdale FL 33309-1744. 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, Theola can be contacted via phone (754) 900-0503.Contact Information
Primary practice address
2700 Nw 62Nd St
Fort Lauderdale FL 33309-1744
Phone: (754) 900-0503
Fax: (754) 289-4250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1508629254 |
|---|---|
| LBN Legal business name | Moore, Theola |
| Credentials | MS, MHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2024 |
| Last updated | Feb 5th, 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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