MRS. NICKOLE RENEA MOORE (NPI# 1043537632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043537632 |
| Entity Type | Individual |
| Full Name | MRS. NICKOLE RENEA MOORE |
| Credential | LMFT |
| Practice Address |
901 Mountain Creek Rd Ste 200 Chattanooga TN 37405-4645 |
| Mailing Address |
4500 Tennessee Ave Chattanooga TN 37409-1630 |
| Practice Telephone | 4235967185 |
| Mailing Telephone | 4235967185 |
| Enumeration Date | 2010-04-22 |
| Last Update Date | 2015-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1154 | TN | Behavioral Health & Social Service Providers |
| Street Address |
901 MOUNTAIN CREEK RD STE 200 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831621739 | Stephanie Hunneke | Marriage & Family Therapist | 901 Mountain Creek Rd Ste 200, Chattanooga, TN 37405-4645 | 2017-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1093340333 | Dave Aitken | Chiropractor | 110 Woodland Ave., Chattanooga, TN 37405 | 2020-03-06 |
| 1285127944 | Kristin Stark | Marriage & Family Therapist | 1307 Hixson Pike, Chattanooga, TN 37405 | 2018-06-07 |
| 1205339033 | Ignite Chiropractic, LLC | Chiropractor | 200 Manufacturers Rd, Ste 210, Chattanooga, TN 37405 | 2018-03-18 |
| 1710486881 | Alexis Beasley Gaylor | Specialist/Technologist | 1185 Mountian Creek Road, Apt 405, Chattanooga, TN 37405 | 2018-02-05 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
| 1154876746 | Joan Stewart Mickles | Counselor | 9 Fairhills Drive, Chattanooga, TN 37405 | 2016-08-24 |
| 1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
| 1063814515 | Mcallister Personal Care Consultants | Home Health | 419 N. Market Street, Chattanooga, TN 37405 | 2014-09-16 |
| Find all providers in zip 37405 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932732922 | Meredith Claire Fielder | Marriage & Family Therapist | 6224 Airpark Dr, Chattanooga, TN 37421-2988 | 2020-02-18 |
| 1053944397 | Alicia G Bradshaw | Marriage & Family Therapist | 7111 Lee Hwy, Chattanooga, TN 37421-6706 | 2020-02-14 |
| 1285127944 | Kristin Stark | Marriage & Family Therapist | 1307 Hixson Pike, Chattanooga, TN 37405 | 2018-06-07 |
| 1972092849 | Joshua Dale Gebhardt | Marriage & Family Therapist | 1024 East M L King Blvd, Chattanooga, TN 37403 | 2018-05-07 |
| 1073013587 | Heather Ann Harrison Dryden | Marriage & Family Therapist | 1401 Carter St Ste 102, Chattanooga, TN 37402-4414 | 2018-02-20 |
| 1528425683 | Mychelle Pinkerton | Marriage & Family Therapist | 3505 Brainerd Rd Ste 1, Chattanooga, TN 37411-2709 | 2016-01-20 |
| 1861866774 | Bonnie Mckinney | Marriage & Family Therapist | 6326 Air Park Dr. Ste. A, Chattanooga, TN 37421 | 2015-11-17 |
| 1649648353 | Ryan Danielle Miller | Marriage & Family Therapist | 7446 Shallowford Rd Ste 112116, Chattanooga, TN 37421-8815 | 2015-09-11 |
| 1336570084 | Gary Mauldin | Marriage & Family Therapist | 536 S Crest Rd, Chattanooga, TN 37404-5917 | 2013-12-05 |
| 1770816100 | Brandon Ellis Rodgers | Marriage & Family Therapist | 1101 Carter St, Chattanooga, TN 37402-5017 | 2009-09-17 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37405 |
Please comment or provide details below to improve the information on MRS. NICKOLE RENEA MOORE.
| 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.