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Teddy Moore, CDCA183837
Addiction (Substance Use Disorder) Counselor in Coal Grove, Ohio
NPI 1891421772

Teddy Moore is an Addiction (Substance Use Disorder) Counselor based in Ironton, OH and is specialized in Addiction (Substance Use Disorder). Teddy Moore practices in Coal Grove, OH and has the professional credentials of CDCA183837. The NPI Number for Teddy Moore is 1891421772 and holds a License No. (Ohio).

The current practice location address for Teddy Moore is 323 Marion Pike Ste 1, Coal Grove, OH and can be reached out via phone at 740-237-4981 and via fax at 877-325-2816.

Location: 323 Marion Pike Ste 1, Coal Grove, OH, 45638-1403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891421772
Provider Name
Teddy Moore
Credential
CDCA183837
Provider Entity Type
Individual
Gender
Male
Address
323 Marion Pike Ste 1, Coal Grove, OH, 45638-1403
Phone Number
740-237-4981
Fax Number
877-325-2816
Provider Enumeration Date
07/25/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0498102 05 OH
institution
Provider Business Practice Location Address Details
Address
323 Marion Pike Ste 1
City
Coal Grove
State
Ohio
Zip
45638-2958
Phone Number
740-237-4981
Fax Number
877-325-2816
person
Provider Business Mailing Address Details
Address
323 Marion Pike Ste 1
City
Coal Grove
State
Ohio
Zip
45638-2958
Phone Number
740-237-4981
Fax Number
877-325-2816
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.183837 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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