CANDICE MOORE (NPI# 1578047338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578047338 |
| Entity Type | Individual |
| Full Name | CANDICE MOORE |
| Other Name | CANDICE FREESE |
| Credential | LCAS-A |
| Practice Address |
1375 Camilla Dr Greenville NC 27834-9556 |
| Practice Telephone | 2522585243 |
| Mailing Telephone | 2522585243 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21982 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629555131 | Candice M. Moore | Optometrist | 4465 Jimmy Lee Smith Pkwy Ste 101, Hiram, GA 30141-2723 | 2018-07-26 |
| 1538565106 | Candice Moore | Occupational Therapist | 105a Windmill Cv, Grenada, MS 38901-9305 | 2014-11-10 |
| 1447884846 | Candice Renee Moore | Nurse Practitioner | 7400 E Thompson Peak Pkwy, Scottsdale, AZ 85255-4109 | 2020-02-25 |
| 1972043131 | Candice Diane Moore | Nurse Practitioner | 2201 Forest Ln, Garland, TX 75042-7957 | 2017-03-06 |
| 1902257165 | Candice Nicole Moore | Nurse Practitioner | 950 Brookway Blvd, Brookhaven, MS 39601-2644 | 2016-06-28 |
| 1558745042 | Candice Gail Moore | Counselor | 10601 Grant Rd, Suite 115b, Houston, TX 77070-4400 | 2015-07-14 |
| 1881932770 | Candice Moore | Physical Therapist | 2 Keewaydin Dr, Salem, NH 03079-2839 | 2013-01-28 |
| 1174699011 | Candice M. Moore | Occupational Therapist | 4500 Interstate 55 North, Suite 291, Highland Village, Jackson, MS 39211 | 2006-11-24 |
| 1326013228 | Candice A. Moore | Psychiatry & Neurology | 815 S Ash St, Nevada, MO 64772-3222 | 2006-02-22 |
| Street Address |
1375 CAMILLA DR |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-9556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039764 | Kenneth Scott Pritchard | Counselor | 1853 Ida and Mary Mclawhorn Rd, Greenville, NC 27858-9158 | 2020-09-28 |
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1104448711 | Horsemanship Connection, LLC | Counselor | 3219 Landmark St Ste 9b, Greenville, NC 27834-7688 | 2020-05-18 |
| 1457972523 | Ivan Ronnie Quan | Counselor | 221 Adley Way, Greenville, SC 29607-6511 | 2020-04-30 |
| 1508409103 | Shamesa N'cole Teel | Counselor | 1721 Crest Cir, Greenville, NC 27834-4735 | 2019-10-26 |
| 1174170898 | Sholonda James Brown | Counselor | 2211 Hyde Dr Apt E, Greenville, NC 27858-8845 | 2019-08-19 |
| 1639721277 | Stepping Stones Therapeutic Services for Children and Adults, Pllc | Counselor | 3105 Evans St Ste E, Greenville, NC 27834-6899 | 2019-07-14 |
| 1194287607 | Strickland Consulting & Counseling | Counselor | 2220 Chavis Dr # B, Greenville, NC 27858-8189 | 2019-04-03 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1831655893 | Steven Mcdowell | Counselor | 155 Brozzini Ct Ste A-d, Greenville, SC 29615-5340 | 2019-02-14 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on CANDICE 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.