person
Ms. Theola Moore, MS,MHC
Mental Health Counselor in Fort Lauderdale, Florida
NPI 1508629254

Theola Moore is a Mental Health Counselor based in Fort Lauderdale, FL and is specialized in Mental Health. Theola Moore practices in Fort Lauderdale, FL and has the professional credentials of MS,MHC. The NPI Number for Theola Moore is 1508629254 and holds a License No. (Florida).

The current practice location address for Theola Moore is 2700 Nw 62Nd St, Fort Lauderdale, FL and can be reached out via phone at 754-900-0503 and via fax at 754-289-4250.

Location: 2700 Nw 62Nd St, Fort Lauderdale, FL, 33309-1718
person
Provider Profile Details
NPI Number
1508629254
Provider Name
Theola Moore
Credential
MS,MHC
Provider Entity Type
Individual
Gender
Female
Address
2700 Nw 62Nd St, Fort Lauderdale, FL, 33309-1718
Phone Number
754-900-0503
Fax Number
754-289-4250
Provider Enumeration Date
02/05/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2700 Nw 62Nd St
City
State
Zip
33309-1744
Phone Number
754-900-0503
Fax Number
754-289-4250
person
Provider Business Mailing Address Details
Address
2700 Nw 62Nd St
City
State
Zip
33309-1744
Phone Number
754-900-0503
Fax Number
754-289-4250
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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