SONYA GLYN MOORE (NPI# 1255736153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255736153 |
| Entity Type | Individual |
| Full Name | SONYA GLYN MOORE |
| Credential | M.S. , LADAC II |
| Practice Address |
400 W 1st North St Ste D Morristown TN 37814-4617 |
| Practice Telephone | (828) 335-2310 |
| Practice Fax Number | 4232665101 |
| Mailing Telephone | (828) 335-2310 |
| Mailing Fax Number | 4232665101 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
LDC0000001260 | TN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q028453 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 404 Holston Dr, Greeneville, TN 377433126 | 4236384171 | 4236387171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120630 | Sonya M Moore | Home Health Aide | 612 W Highland Ave Apt 21, Ravenna, OH 44266-2179 | 2020-09-28 |
| 1164078127 | Sonya Susan Moore | Social Worker | 1015 Eden Way N Ste B, Chesapeake, VA 23320-2787 | 2019-08-15 |
| 1588169338 | Sonya Moore | Nurse's Aide | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2018-03-26 |
| 1093098683 | Sonya Derain Moore | Behavioral Analyst | 2625 East 14th Street, Brooklyn, NY 11235 | 2011-09-21 |
| 1093779027 | Sonya D Moore | Nurse Anesthetist, Certified Registered | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-04-14 |
| Street Address |
400 W 1ST NORTH ST STE D |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37814-4617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700357035 | Morristown Heart, Pllc | Internal Medicine | Morristown Heart, Pllc, 735 Mcfarland Street, Morristown, TN 37814 | 2018-12-16 |
| 1669942207 | Amanda Madeline Still | Case Manager/Care Coordinator | 310 West Third North Street, Morristown, TN 37814 | 2018-11-27 |
| 1750858353 | April Caroline Lankford | Case Manager/Care Coordinator | 310 W 3rd North Street, Morristown, TN 37814 | 2018-11-01 |
| 1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
| 1770084303 | Janine Barnett | Case Manager/Care Coordinator | 210 W. 3rd North Street, Morristown, TN 37814 | 2018-02-28 |
| 1831616655 | Genoa Healthcare, LLC | Pharmacy | 310 W 3rd North St Ste Pharm, Morristown, TN 37814 | 2017-08-23 |
| 1124542113 | Jenny Lothamer Withem | Speech-Language Pathologist | 6205 Wintergreen Rd, Morristown, TN 37814 | 2017-08-01 |
| 1568998011 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Drive, Morristown, TN 37814 | 2017-05-03 |
| 1225587157 | Urgent Care LLC Dba This Visit | Clinic/Center | 2261 Sandstone Dr., Morristown, TN 37814 | 2016-10-04 |
| 1225406317 | Alps Adult Day Services | Clinic/Center | 600 N. Daisy St., Morristown, TN 37814 | 2015-09-08 |
| Find all providers in zip 37814 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629209 | Rebecca J Reed | Psychologist | 3003 Riverside Dr, Jackson, TN 38301-9160 | 2017-10-02 |
| 1346493574 | Middle Tennessee Counseling Services, Inc | Psychologist | 435 Park Avenue, Stallings Building, Lebanon, TN 37087-3630 | 2008-10-31 |
| 1871658757 | Psychiatric Services of East Tennessee | Psychologist | 123 E Washington Ave, Athens, TN 37303 | 2006-12-22 |
| 1992775704 | Mary Kathleen Roberson | Psychologist | 665 Emory Valley Rd, Ste. A, Oak Ridge, TN 37830-7762 | 2006-01-24 |
| 1154774941 | Andrew Harper | Psychologist | 626 Bernard Ave, Knoxville, TN 37921-6253 | 2016-07-18 |
| 1548618416 | Journeypure Multyspecialty Group LLC | Psychologist | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-06-01 |
| 1114356219 | James Casey | Psychologist | 115 28th Ave N, Nashville, TN 37203-1411 | 2013-11-08 |
| 1386089605 | Recovery Physician Group of Tennessee, LLC | Psychologist | 101 Lea Ave, Nashville, TN 37210-2066 | 2013-04-30 |
| 1275799892 | Recovery Physician Group of Tennessee, LLC | Psychologist | 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256 | 2008-08-04 |
| 1952502445 | Mealer Psychological,pllc | Psychologist | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2007-05-30 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 37814 |
Please comment or provide details below to improve the information on SONYA GLYN MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.