COLIN LANCE MOORE


Address: 2229 Olan Mills Dr, Chattanooga, TN 37421-1891
Phone: 4232964224

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).

Provider Overview

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

Taxonomy

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

Other Providers COLIN MOORE

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

Office Location

Street Address 2229 OLAN MILLS DR
City CHATTANOOGA
State TN
Zip Code 37421-1891

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447563044 Melissa Luke Gonzalez Psychologist 1101 Carter St, Chattanooga, TN 37402-5017 2010-07-23

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City CHATTANOOGA
Zip Code 37421

Improve Information

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Dataset Information

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.

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