Smith Moore, Beverly
Smith Moore, Beverly is an sole proprietor health care provider with primary practice located at 401 Westpark Ct Ste 200 , Peachtree City GA 30269-3572. She recently has 7 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Smith Moore, Beverly can be contacted via phone (678) 523-1715.Contact Information
Primary practice address
401 Westpark Ct Ste 200
Peachtree City GA 30269-3572
Phone: (678) 523-1715
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | LPC003014 | Georgia |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LPC003014 | Georgia |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC003014 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC003014 | Georgia |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LPC003014 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC003014 | Georgia |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | LPC003014 | Georgia |
Profile Details
| NPI number | 1659663086 |
|---|---|
| LBN Legal business name | Smith Moore, Beverly |
| Credentials | PHD, LPC, CCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2011 |
| Last updated | Nov 30th, 2025 - about last year |
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 | 1659663086 | NPPES |
| Georgia | MEDICAID | 003109153A |
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