Provider Information for 1003431594
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
LAVONYA ANN MOORE LPCMH
Sex: Female
NPI: 1003431594
Last Updated: 2025-01-22
Certification Date: 2025-01-22
Certification Date: 2025-01-22
Details
| Name | Value | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1003431594 | ||||||||||||||||
| Enumeration Date | 2020-06-10 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 1601 MILLTOWN RD STE 13 WILMINGTON, DE 19808-4084 United States Phone: 302-683-4938 | Fax:302-417-0418 | ||||||||||||||||
| Primary Practice Address | 1601 MILLTOWN RD STE 13 WILMINGTON, DE 19808-4084 United States Phone: 302-683-4938 | Fax:302-417-0418 | ||||||||||||||||
| Secondary Practice Address(es) | |||||||||||||||||
| Health Information Exchange |
| ||||||||||||||||
| Other Identifiers |
| ||||||||||||||||
| Taxonomy |
|