DR. LAFACIAL WILSON MOORE (NPI# 1316155633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316155633 |
| Entity Type | Individual |
| Full Name | DR. LAFACIAL WILSON MOORE |
| Other Name | DR. LAFACIAL YVETTE WILSON |
| Credential | PH.D. |
| Practice Address |
924 Montclair Rd Suite 106 Birmingham AL 35213-1211 |
| Practice Telephone | 2052189398 |
| Mailing Telephone | 2052189398 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2364 | AL | Behavioral Health & Social Service Providers |
| Street Address |
924 MONTCLAIR RD SUITE 106 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35213-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093711814 | Thomas J. Alford | Pathology | 924 Montclair Rd, Ste 200, Birmingham, AL 35213-1200 | 2005-06-27 |
| 1033303102 | Warren Jefferson Clingan IIi | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2007-08-31 |
| 1073723383 | Amanda Crowe | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2007-05-23 |
| 1063622280 | Daniel Keith Harrison | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2007-05-23 |
| 1043315922 | Hayward Savage Edmunds Jr. | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2006-09-14 |
| 1144279654 | Allyson Baker | Pathology | 924 Montclair Rd, Suite 200, Birmingham, AL 35213-1211 | 2006-05-10 |
| 1114998192 | Montclair Road Imaging, LLC | Clinic/Center | 924 Montclair Rd, Suite 108, Birmingham, AL 35213-1211 | 2006-01-30 |
| 1144226705 | Edward R Wilson Jr. | Pathology | 924 Montclair Rd, Ste 200, Birmingham, AL 35213-1200 | 2005-06-28 |
| 1811993595 | Caroline P Mccall | Pathology | 924 Montclair Rd, Ste 200, Birmingham, AL 35213-1200 | 2005-06-27 |
| 1669478327 | James A Davis IIi | Pathology | 924 Montclair Rd, Ste 200, Birmingham, AL 35213-1200 | 2005-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
| 1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
| 1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| 1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
| 1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
| 1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
| 1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
| 1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
| 1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
| Find all providers in zip 35213 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827031 | Marable Counseling & Consulting Services, LLC | Counselor | 400 Century Park S Ste 106, Birmingham, AL 35226-3925 | 2020-10-05 |
| 1568077402 | Grace Counseling | Counselor | 300 Cahaba Park Cir Ste 202, Birmingham, AL 35242-5005 | 2020-09-08 |
| 1194339267 | Sara Elizabeth Dungan | Counselor | 2917 Central Ave Ste 305, Birmingham, AL 35209-2576 | 2020-09-04 |
| 1952914004 | Yellow Bird Counseling, LLC | Counselor | 2100a Southbridge Pkwy Ste 650, Birmingham, AL 35209-1377 | 2020-08-28 |
| 1306462056 | Lauren K Swain | Counselor | 3536 Vann Rd Ste A-6a7, Birmingham, AL 35235-3207 | 2020-06-18 |
| 1366070906 | Linda H. Foster | Counselor | 644 Bienville Ln, Birmingham, AL 35213-2014 | 2020-03-30 |
| 1144865460 | Alzelda Richardson | Counselor | 2517 Center Point Pkwy, Birmingham, AL 35215-2548 | 2019-11-11 |
| 1881236313 | Charlotte Lee Daughhetee | Counselor | 1441 Oakridge Dr, Birmingham, AL 35242-3520 | 2019-10-16 |
| 1932758109 | Deegan Malone | Counselor | 2721 Jenny Ln, Birmingham, AL 35243-4107 | 2019-09-10 |
| 1124675053 | Endurance Counseling LLC | Counselor | 7916 2nd Ave S, Birmingham, AL 35206-3804 | 2019-08-26 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35213 |
Please comment or provide details below to improve the information on DR. LAFACIAL WILSON 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.