JUSTIN MOORE (NPI# 1437689122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437689122 |
| Entity Type | Individual |
| Full Name | JUSTIN MOORE |
| Credential | LMFT |
| Practice Address |
3316 Bemiss Rd Valdosta GA 31605-7014 |
| Practice Telephone | 2292627333 |
| Practice Fax Number | 2292627335 |
| Mailing Telephone | 2292627333 |
| Mailing Fax Number | 2292627335 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT001759 | GA | Behavioral Health & Social Service Providers |
| N | 171W00000X | Contractor | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 950 Lakeside Drive, Valdosta, GA 31602 | 2294440976 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323946 | Justin Derrick Moore | Obstetrics & Gynecology | 9500 Euclid Ave # 44195, Cleveland, OH 44195-2648 | 2016-05-05 |
| 1346620119 | Justin R Moore | Counselor | 10 Mayor Thomas J Mcgrath Hwy, Quincy, MA 02169-5312 | 2015-06-05 |
| 1619171568 | Justin J Moore | Counselor | Hu Box # 12262, Searcy, AR 72149-0001 | 2007-06-13 |
| 1619185006 | Justin Donald Moore | Physical Therapist | 4819 1st St S, Arlington, VA 22204-1315 | 2007-05-18 |
| 1366444267 | Justin L Moore | Specialist | 987 Brookville St, Fairmount City, PA 16224-0046 | 2005-08-11 |
| 1831743699 | Justin Moore | Physical Therapy Assistant | 3470 Landers Rd, North Little Rock, AR 72117 | 2019-07-30 |
| 1346704970 | Justin Moore | Community Health Worker | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2019-01-28 |
| 1699279117 | Justin Earl Moore | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2018-03-20 |
| 1487005393 | Justin Anthony Moore | Psychologist | 5249 E Terrace Dr, Madison, WI 53718-8339 | 2016-06-22 |
| 1346602406 | Justin Murray Moore | Neurological Surgery | 110 Francis St, Lowry Building, Suite 3b, Boston, MA 02215 | 2016-03-27 |
| Street Address |
3316 BEMISS RD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31605-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144599945 | Ashley Fink Shapiro | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2011-12-22 |
| 1013571785 | Holly Wingate | Counselor | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2019-04-27 |
| 1144707480 | Ashley Shapiro, LLC | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2018-07-19 |
| 1144654674 | Regina Katherine Wisenbaker | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605-7014 | 2013-09-03 |
| 1114270436 | Paris C Shields | Social Worker | 3316 Bemiss Rd, Valdosta, GA 31605 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484718 | Mckenna Kristine Bachmann | Specialist/Technologist | Moody Air Force Base, Valdosta, GA 31605 | 2020-07-14 |
| 1376056366 | Michael Brent Robinson Sr. | Contractor | 3863 Camellia Dr., Valdosta, GA 31605 | 2017-11-13 |
| 1679013452 | Baptist Specialty Physicians Inc | Pediatrics | 3301 N Oak St Ext, Valdosta, GA 31605 | 2017-02-28 |
| 1649683541 | Dustin Ross Kilby | Dentist | 2704 Oak Center Dr, Valdosta, GA 31605 | 2014-06-09 |
| 1659643286 | Brittnaey Nicole Freeman | Behavioral Analyst | 3982 Karaline Cir, Valdosta, GA 31605 | 2012-01-27 |
| 1780970335 | Laura Christen Cribbs | Counselor | 3312-d N Oak Street Ext, Valdosta, GA 31605 | 2011-06-22 |
| 1992090633 | Mary Katelyn Harper | Pharmacist | 3200 North Oak Street, Valdosta, GA 31605 | 2011-06-10 |
| 1053532937 | Robert Mark Pearson | Dentist | 3227 N. Oak St. Ext., Valdosta, GA 31605 | 2007-05-01 |
| 1083838650 | Am Sleep Diagnostics and Research Center | Clinic/Center | 3334 Greyatone Way, Valdosta, GA 31605 | 2007-04-12 |
| 1831236181 | William Ashley Moorman | Dentist | Advanced Dental Care, 3211 Wildwood Plantation Drive, Valdosta, GA 31605 | 2007-01-30 |
| Find all providers in zip 31605 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887431 | Kristi Brynt Godwin | Marriage & Family Therapist | 4457 Kenilworth Cir, Valdosta, GA 31605-8018 | 2020-09-25 |
| 1023638004 | Cartier Owens | Marriage & Family Therapist | 9 Spring Creek Cir, Valdosta, GA 31602-2278 | 2020-04-20 |
| 1720619844 | Michelle Catherine Brooten-brooks | Marriage & Family Therapist | 2704 N Oak St Bldg B3, Valdosta, GA 31602-1797 | 2020-01-28 |
| 1447774195 | Brianna Rae Brown | Marriage & Family Therapist | 907 Pine Cone Cir, Valdosta, GA 31602-1967 | 2017-08-02 |
| 1003261637 | Lynze Vickers, Lmft, LLC | Marriage & Family Therapist | 3350 Noble Way, Suite B, Valdosta, GA 31605-7444 | 2016-05-02 |
| 1669870697 | Lifetime Counseling Service & Management Services | Marriage & Family Therapist | 2905 Bemiss Rd, Valdosta, GA 31602-7007 | 2014-12-08 |
| 1972930105 | Tamika Summers | Marriage & Family Therapist | 3120 N Oak St, Valdosta, GA 31602-1003 | 2013-10-02 |
| 1881035012 | Traci Nacole Ferris | Marriage & Family Therapist | 4133 Springruff Dr, Valdosta, GA 31602-7613 | 2013-07-16 |
| 1336484971 | Molly B Porter | Marriage & Family Therapist | 2908 Fawnwood Cir, Valdosta, GA 31602-4100 | 2012-12-09 |
| 1568707115 | Valerie Smith | Marriage & Family Therapist | 129 Sparrow Hawk Dr, Valdosta, GA 31602-6001 | 2012-12-09 |
| Find all providers in VALDOSTA | ||||
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| 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.