Moorehouse, Vicki Blake
Moorehouse, Vicki Blake is an individual health care provider with primary practice located at 4132 Bristol Hwy Suite 4, Johnson City TN 37601-2932. 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. Moorehouse, Vicki Blake can be contacted via phone (423) 483-2376.Contact Information
Primary practice address
4132 Bristol Hwy Suite 4
Johnson City TN 37601-2932
Phone: (423) 483-2376
Fax: (423) 975-0222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 10587 | Florida |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2788 | Tennessee |
Profile Details
| NPI number | 1295005197 |
|---|---|
| LBN Legal business name | Moorehouse, Vicki Blake |
| Credentials | LPC-MHSP, SAP, LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2012 |
| Last updated | Jan 9th, 2012 - about 14 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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