COLIN LANCE MOORE (NPI# 1508043183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508043183 |
Entity Type | Individual |
Full Name | COLIN LANCE MOORE |
Credential | BCBA |
Practice Address |
2229 Olan Mills Dr Chattanooga TN 37421-1891 |
Practice Telephone | 4232964224 |
Practice Fax Number | 4232964230 |
Mailing Telephone | 4232964224 |
Mailing Fax Number | 4232964230 |
Enumeration Date | 2008-01-26 |
Last Update Date | 2008-01-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235798794 | Colin Moore | Physical Therapist | 1885 S 14th St, Fernandina Beach, FL 32034-3033 | 2019-06-10 |
1467755512 | Colin Gaeney Moore | Behavioral Analyst | 321 Fortune Blvd, Milford, MA 01757-1750 | 2010-12-13 |
1134370646 | Colin Moore | Pediatrics | 601 5th St S, 3rd Floor, St Petersburg, FL 33701-4804 | 2008-10-02 |
Street Address |
2229 OLAN MILLS DR |
City | CHATTANOOGA |
State | TN |
Zip Code | 37421-1891 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902942485 | Prolex Medical Services, Inc | Clinic/Center | 2229 Olan Mills Dr, Chattanooga, TN 37421 | 2007-01-30 |
1427283738 | Tamara Carr Shaver | Dietitian, Registered | 2229 Olan Mills Dr, Chattanooga, TN 37421-1891 | 2009-05-16 |
1235316811 | Jill Nelson | Counselor | 2229 Olan Mills Dr, Chattanooga, TN 37421-1891 | 2008-01-26 |
1629110457 | Gary P Gesualdi | Family Medicine | 2229 Olan Mills Dr, Chattanooga, TN 37421 | 2007-02-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
Find all providers in zip 37421 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447563044 | Melissa Luke Gonzalez | Psychologist | 1101 Carter St, Chattanooga, TN 37402-5017 | 2010-07-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609351766 | Superior Residential Solutions, LLC | Psychologist | 5225 Rocky Ford Ln, Arlington, TN 38002-4833 | 2018-09-25 |
1265681936 | Paul R. Malanga | Psychologist | 9395 Garden Woods Dr, Cordova, TN 38016-4729 | 2008-09-17 |
1194999615 | Nicole Marie Bichelman | Psychologist | 862 Winterfields Dr., Cordova, TN 38018-7965 | 2008-04-15 |
1700071651 | Timothy Cripps | Psychologist | 1778 Penshurst Dr, Collierville, TN 38017-9104 | 2007-09-12 |
1770776858 | Carrie Peacock | Psychologist | 1155 Cully Rd, Cordova, TN 38018-8502 | 2007-08-22 |
1801007984 | David H. Craig | Psychologist | 202 Sunnymeade Dr, Columbia, TN 38401-5225 | 2007-05-24 |
1689796500 | Liming Zhou | Psychologist | 6117 Lamb Woods Dr, Bartlett, TN 38135-9256 | 2007-04-03 |
1629108642 | George Elliott Zukotynski | Psychologist | 3229 Nolen Ln, Franklin, TN 37064-6222 | 2007-03-07 |
1053446757 | Kenneth Michael Macurik | Psychologist | 3543 Philwood Ave, Memphis, TN 38122-4557 | 2007-02-22 |
1841346095 | Maurice Butler Jr. | Psychologist | 4942 Noel Mission Dr, Memphis, TN 38125-4783 | 2007-01-27 |
Find all providers with the same taxonomy |
City | CHATTANOOGA |
Zip Code | 37421 |
Please comment or provide details below to improve the information on COLIN LANCE 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.