Moyer, Nina M
Moyer, Nina M is an sole proprietor health care provider with primary practice located at 160 Cypress Point Pkwy , Palm Coast FL 32164-8433. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Moyer, Nina M can be contacted via phone (904) 662-7800.Contact Information
Primary practice address
160 Cypress Point Pkwy
Palm Coast FL 32164-8433
Phone: (904) 662-7800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH6165 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C.1300158 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MH6165 | Florida |
Profile Details
| NPI number | 1245415090 |
|---|---|
| LBN Legal business name | Moyer, Nina M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2007 |
| Last updated | Jan 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245415090 | NPPES |
| Florida | Other | MH6165 | BOARD OF PROFESSIONAL REGULATION |
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