Active NPIIndividual provider

Charlotte Moore, LAC

Counselor, Mental Health in Nutley, New Jersey

NPI Number1760224570
Practice location
169 Chestnut St, Nutley, NJ 07110-2311
Fax
—
Last updated
June 11, 2024

Charlotte Moore is a Counselor, Mental Health based in Nutley, NJ. Charlotte Moore practices in Nutley, NJ and has the professional credentials of LAC. The NPI Number for Charlotte Moore is 1760224570 and holds a License No. 37ac00611900 (NJ). The current practice location address for Charlotte Moore is 169 Chestnut St, Nutley, NJ 07110-2311 and can be reached out via phone at 973-667-1884.

Provider Profile Details

NPI Number
1760224570
Provider Name
Charlotte Moore
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
169 Chestnut St, Nutley, NJ 07110-2311
Phone Number
973-667-1884
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 11, 2024
Last Update Date
June 11, 2024
Certification Date
June 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
169 Chestnut St
Nutley, NJ 07110-2311
City
Nutley
Zip
07110-2311
Phone Number
973-667-1884
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
38 Noel Dr
North Arlington, NJ 07031-5310
City
North Arlington
State
NJ
Zip
07031-5310
Phone Number
201-708-3360

License Information

License Number
37ac00611900
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Charlotte Moore, LAC?

The NPI number of Charlotte Moore, LAC is 1760224570. It was assigned on June 11, 2024 and is currently active in the NPPES registry.

What is the specialty of Charlotte Moore, LAC?

Charlotte Moore, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37ac00611900.

Where does Charlotte Moore, LAC practice?

The practice location is 169 Chestnut St, Nutley, NJ 07110-2311. The office can be reached at 973-667-1884 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760224570 directly on the NPPES registry website.

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