JULIE MOORE (NPI# 1811301724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811301724 |
| Entity Type | Individual |
| Full Name | JULIE MOORE |
| Credential | MSW |
| Practice Address |
836 N Detroit St Lagrange IN 46761-1112 |
| Mailing Address |
Po Box 497 Warsaw IN 46581-0497 |
| Practice Telephone | 2604993019 |
| Practice Fax Number | 2604993022 |
| Mailing Telephone | 5742677169 |
| Mailing Fax Number | 5742694189 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724539 | Julie Renae Moore | Technician | 3509 6th Ave, Parkersburg, WV 26101-6312 | 2020-09-10 |
| 1720516131 | Julie Moore | Social Worker | 150 W Main St # 330, Gallatin, TN 37066-3251 | 2017-05-30 |
| 1558758565 | Julie Smith Moore | Physical Therapist | 9 E Court Sq, Apartment E, Newnan, GA 30263-2024 | 2015-04-17 |
| 1902208432 | Julie Moore | Occupational Therapy Assistant | 7801 Stewart Ave, Los Angeles, CA 90045 | 2014-09-16 |
| 1134558687 | Julie Moore | Physical Therapist | 920 Plantation Rd Ste 100, Blacksburg, VA 24060-3837 | 2013-11-05 |
| 1568730927 | Julie Moore | Behavioral Analyst | 1133 College Ave Ste E230, Manhattan, KS 66502 | 2011-12-13 |
| 1295066736 | Julie Moore | Physical Therapy Assistant | 729 Foxridge Ct, Rocky Mount, NC 27804-8215 | 2010-01-22 |
| 1235392929 | Julie Ann Moore | Dentist | 4351 Commercial Way, Springhill, FL 34606 | 2008-07-03 |
| 1386831493 | Julie Ann Moore | Physical Therapist | 1460 Post Rd, Wells, ME 04090-4508 | 2007-10-02 |
| 1902938665 | Julie Isabella Moore | Marriage & Family Therapist | 110 Se 6th St, Ste. 1700, Fort Lauderdale, FL 33301-5000 | 2007-03-09 |
| Street Address |
836 N DETROIT ST |
| City | LAGRANGE |
| State | IN |
| Zip Code | 46761-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366483141 | Dee L Strycker | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2006-06-10 |
| 1700483948 | Brandie Fitch | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2020-10-01 |
| 1801402128 | Kelli Marie Rhodes | Nurse Practitioner | 836 N Detroit St, Lagrange, IN 46761-1112 | 2020-09-22 |
| 1740836097 | Katie A Grabe | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2019-08-13 |
| 1881252146 | Stephen A Leininger | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2019-06-03 |
| 1518479922 | Misty D. Arellano | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2017-10-26 |
| 1831636679 | Elizabeth M Labuzienski | Social Worker | 836 N Detroit St, Lagrange, IN 46761-1112 | 2017-01-31 |
| 1619352739 | Linda Roberts Chevez | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2015-07-30 |
| 1336542455 | Daphne Coy | Social Worker | 836 N Detroit St, Lagrange, IN 46761-1112 | 2014-10-02 |
| 1295176634 | Brooke J Lagro | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2013-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049007 | Darlene L. Schlotterback | Physical Therapist | 207 N. Townline Rd, Lagrange, IN 46761 | 2019-12-09 |
| 1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
| 1134775554 | Kristy Jo Roth | Pharmacist | 0975n 00 Ew, Lagrange, IN 46761 | 2019-08-12 |
| 1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
| 1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
| 1558305326 | Craig L Nelson Dds Inc | Dentist | 405 Union Street, Lagrange, IN 46761 | 2006-06-15 |
| 1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
| 1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
| 1891791414 | Larry Best | Podiatrist | 400 1/2 Union Street, Lagrange, IN 46761 | 2005-06-28 |
| 1972140010 | Vickie L. Pletcher | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-09 |
| Find all providers in zip 46761 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902450570 | Meredith Key | Counselor | 401 Ridley Ave, Lagrange, GA 30240-2267 | 2019-07-31 |
| 1538635792 | Niyah Glover | Counselor | 137 Commerce Ave Ste B109, Lagrange, GA 30241-2346 | 2018-10-15 |
| 1649764366 | Kelly L Swinyard | Counselor | 1605 Vernon Rd Ste 1500, Lagrange, GA 30240-4166 | 2018-06-16 |
| 1639677453 | Shelby Sipe | Counselor | 401 Ridley Ave Ste C, Lagrange, GA 30240-2267 | 2018-01-26 |
| 1467723833 | Anthony Jerome Freeman | Counselor | 120 Gordon Commercial Dr Ste B, Lagrange, GA 30240-5753 | 2012-01-18 |
| 1720165152 | Karen B Cooper | Counselor | 301 W Broome St, Lagrange, GA 30240-3166 | 2006-11-01 |
| 1366483141 | Dee L Strycker | Counselor | 836 N Detroit St, Lagrange, IN 46761-1112 | 2006-06-10 |
| 1326004326 | Lisa G. Adams | Counselor | 300 Medical Drive, Lisa Adams, Lpc, Suite 705, Lagrange, GA 30240 | 2006-04-26 |
| 1164036802 | Alexandria Morgan Lee | Counselor | 200 N Lewis St, Lagrange, GA 30240-2738 | 2020-09-01 |
| 1861034332 | Grayson West | Counselor | 122 Gordon Commercial Dr Ste D, Lagrange, GA 30240-5754 | 2019-10-16 |
| Find all providers in LAGRANGE | ||||
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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.