DR. E JEAN HERNDON MOORE (NPI# 1720495559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720495559 |
| Entity Type | Individual |
| Full Name | DR. E JEAN HERNDON MOORE |
| Credential | D.MIN., LCASA |
| Practice Address |
117 Rose Bud Dr. Durham NC 27704 |
| Mailing Address |
Po Box 2894 Durham NC 27715-2894 |
| Practice Telephone | 9194758693 |
| Mailing Telephone | 9194758693 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
NC | Behavioral Health & Social Service Providers |
| Street Address |
117 ROSE BUD DR. |
| City | DURHAM |
| State | NC |
| Zip Code | 27704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927723 | Irene Dormenie Jackson | Counselor | 904 Woodgreen Dr, Durham, NC 27704-6034 | 2020-09-18 |
| 1285252379 | Chrissteller Taylor | Counselor | 4808 Fortunes Ridge Dr, Durham, NC 27713-9348 | 2020-07-06 |
| 1376169482 | Livia Corry | Counselor | 2410 Presidential Dr Ste 105, Durham, NC 27703-8021 | 2020-06-24 |
| 1639723794 | Philip Marschall | Counselor | 3003 Corinth Ln, Durham, NC 27704-3271 | 2019-07-27 |
| 1497317887 | Francisco Javier Contreras Hernandez | Counselor | 2020 Chapel Hill Rd, Durham, NC 27707-1184 | 2019-07-05 |
| 1235696378 | Aleesha Hughes | Counselor | 2609 N Duke St Ste 403, Durham, NC 27704-3048 | 2019-02-25 |
| 1629569280 | Nyesha Shanta Robinson | Counselor | 2530 Meridian Pkwy Ste 2055, Durham, NC 27713-5272 | 2018-05-19 |
| 1588166243 | Shane Phillips | Counselor | 411 Trent Drive, Durham, NC 27710-0001 | 2018-03-08 |
| 1366954356 | Jamie Lee Washington | Counselor | 2310 S Miami Blvd Ste 136, Durham, NC 27703-5799 | 2017-10-30 |
| 1508381369 | Lacrisha Holcomb | Counselor | 1822 East Highway 54, Suite 300, Durham, NC 27713 | 2017-08-13 |
| Find all providers in DURHAM | ||||
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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.