THE MOORE EXPERIENCE (NPI# 1649755281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649755281 |
Entity Type | Organization |
Organization Name | THE MOORE EXPERIENCE |
Practice Address |
6024 Old Town Pl Norcross GA 30093-5030 |
Practice Telephone | 6785222472 |
Mailing Telephone | 6785222472 |
Enumeration Date | 2018-09-29 |
Last Update Date | 2018-09-29 |
Authorized Official Name | JUANESE M MOORE (CEO) |
Authorized Official Telephone | 7706097288 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
6024 OLD TOWN PL |
City | NORCROSS |
State | GA |
Zip Code | 30093-5030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770067498 | Juanese Moore | Counselor | 6024 Old Town Pl, Norcross, GA 30093-5030 | 2018-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013517465 | Tequila Olivia Banks | Counselor | 8303 Dunleaf Arc Way Nw, Norcross, GA 30093 | 2020-10-27 |
1922643485 | Anthony Ervin | Case Manager/Care Coordinator | 6251 Smithpoint Dr. Bldg B, Peachtree Corners, GA 30093 | 2019-11-08 |
1164908885 | Marianne Altares | Speech-Language Pathologist | 1709 Oakbrook Lake Dr, Norcross, GA 30093 | 2018-07-16 |
1518480763 | Braces Now 14, LLC | Dentist | 4141 Steve Reynolds Blvd, Suite 2, Norcross, GA 30093 | 2017-07-19 |
1457802902 | Audrey Fernandes | Dentist | 4846 Jimmy Carter Blvd, Suite 203, Norcross, GA 30093 | 2016-10-19 |
1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
1376941500 | Katerine Velez | Counselor | 6020 Dawson Blvd., Siute I, Norcross, GA 30093 | 2014-12-22 |
1679979017 | Allison Ballay Donnelly | Speech-Language Pathologist | 1626 Jeurgens Ct., Norcross, GA 30093 | 2014-11-12 |
1588913701 | Sunrise Pharmacy | Pharmacy | 1235 Indian Trail Rd, Suite 200a, Norcross, GA 30093 | 2012-09-04 |
1821347154 | Shakirah Forde | Counselor | 1770 Indian Trail Lilburn Rd Ste 120, Norcross, GA 30093 | 2012-08-31 |
Find all providers in zip 30093 |
Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104396662 | I-siyu, LLC | Community/Behavioral Health | 4487 Park Dr Ste A1, Norcross, GA 30093-2964 | 2018-11-27 |
1063958973 | Community Teen Coalition, Inc | Community/Behavioral Health | 6035 Brookside Oak Cir, Norcross, GA 30093-1754 | 2017-01-16 |
1376099069 | Tory Boger | Community/Behavioral Health | 2202 Tree Corners Pkwy, 2202 Tree Corners Pkwy, Norcross, GA 30092-3134 | 2016-09-01 |
1447704804 | The Transformation Center | Community/Behavioral Health | 416 Hampton Xing, Norcross, GA 30093-4060 | 2016-08-15 |
1578961439 | Life Changing Solutions, LLC | Community/Behavioral Health | 5825 Live Oak Pkwy, Suite 2b, Norcross, GA 30093-1728 | 2014-12-09 |
1548564172 | All Kids First Early Intervention Services, LLC. | Community/Behavioral Health | 2959 Stanstead Cir, Norcross, GA 30071-5000 | 2010-12-21 |
1083884332 | Matrix Evaluation and Counseling Services LLC | Community/Behavioral Health | 3100 River Exchange Dr, 828, Norcross, GA 30092-4224 | 2008-03-03 |
1891820130 | Creative Community Service, Inc. | Community/Behavioral Health | 4487 Park Dr, Suite A, Norcross, GA 30093-2964 | 2007-02-23 |
1396885059 | Clinic for Education, Treatment and Prevention of Addiction, Inc. | Community/Behavioral Health | 6020 Dawson Blvd, Suite I, Norcross, GA 30093-1229 | 2007-02-08 |
1447876719 | Anytime First Call Np, LLC | Community/Behavioral Health | 3295 River Exchange Dr Ste 302, Norcross, GA 30092-4238 | 2020-06-22 |
Find all providers in NORCROSS |
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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.