Moorer, Charlene

Moorer, Charlene is an sole proprietor health care provider with primary practice located at 36 N Main St , Southington CT 06489-2517. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Moorer, Charlene can be contacted via phone (203) 919-2229.

Contact Information

Primary practice address
36 N Main St Southington CT 06489-2517
Phone: (203) 919-2229
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 241420 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 46-002009 Connecticut

Profile Details

NPI number 1295248250
LBN Legal business name Moorer, Charlene
Credentials NCC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2017
Last updated Jul 26th, 2020 - about 6 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 1295248250 NPPES
Connecticut MEDICAID 008076655

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