MS. KIM MOORE (NPI# 1568702512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568702512 |
| Entity Type | Individual |
| Full Name | MS. KIM MOORE |
| Credential | MS, LPC |
| Practice Address |
1175 Canton St First Floor Roswell GA 30075-3616 |
| Practice Telephone | 7703317718 |
| Mailing Telephone | 7703317718 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
GA 003823 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134628894 | Kim Lanere Moore | Technician | 1832 Jack Rabbit Way, Las Vegas, NV 89128-2633 | 2018-02-08 |
| 1801064423 | Kim Ann Moore | Pharmacist | 2006 Hwy 35, Spring Lake, NJ 07762-2543 | 2008-02-17 |
| 1164638318 | Kim Carlson Moore | Pharmacist | Harmon's Pharmacy, 37 Harrisville Road, Ogden, UT 84404 | 2007-05-15 |
| 1396139143 | Kim Ann Moore | Social Worker | 2600 Redondo Ave Fl 3, Long Beach, CA 90806-2325 | 2015-03-18 |
| 1649678186 | Kim Moore | Physical Therapy Assistant | 148 Nw 1150th Rd, Chilhowee, MO 64733-8107 | 2014-12-16 |
| 1497193841 | Kim Jean Moore | Psychologist | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2013-06-07 |
| 1487916250 | Kim Marie Moore | Nurse Practitioner | 1670 E 120th St, N S Bldg Room 2c06, Los Angeles, CA 90059-3026 | 2012-06-08 |
| 1205140449 | Kim Moore | Case Manager/Care Coordinator | 1114 Yuba St, #207, Marysville, CA 95901-4838 | 2010-07-29 |
| Street Address |
1175 CANTON ST FIRST FLOOR |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-3616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659589349 | Harold David Quillian | Psychologist | 1175 Canton St, Suite Two, Roswell, GA 30075-3616 | 2007-05-18 |
| 1104343995 | Stephanie Clark | Counselor | 1175 Canton St, Roswell, GA 30075-3692 | 2017-08-23 |
| 1902235237 | Deborah Smith | Counselor | 1175 Canton St, Suite 2, Roswell, GA 30075-3692 | 2013-11-07 |
| 1548553274 | Camilla Macdonald | Social Worker | 1175 Canton St, Roswell, GA 30075-3616 | 2011-05-27 |
| 1992946842 | Duane Farmer P.C. | Community/Behavioral Health | 1175 Canton St, Ste 2, Roswell, GA 30075-3616 | 2009-03-23 |
| 1063653145 | Duane T Farmer | Counselor | 1175 Canton St, Suite 2, Roswell, GA 30075-3616 | 2009-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051492 | Atlanta Counseling Solutions, LLC | Counselor | 8150 Sentinae Chase Dr, Roswell, GA 30076-4456 | 2020-07-24 |
| 1033727052 | Susan Payne Richardson | Counselor | 555 Sun Valley Dr Ste L1, Roswell, GA 30076-5630 | 2020-07-15 |
| 1295397529 | Susan Martin | Counselor | 245 Farm Trak, Roswell, GA 30075-4218 | 2019-07-08 |
| 1942772876 | Cynthia Linskey | Counselor | 10929 Crabapple Rd Ste 203e, Roswell, GA 30075-7657 | 2018-12-17 |
| 1912483744 | Donnisha Lavigne | Counselor | 555 Sun Valley Dr Ste L3, Roswell, GA 30076-5630 | 2018-07-16 |
| 1205347671 | Anna I Baxter | Counselor | 700 Old Roswell Lakes Pkwy Ste 300, Roswell, GA 30076-1612 | 2017-10-12 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1952851271 | Rational Lifestyle Consulting LLC | Counselor | 310 S Lea Ave, Roswell, NM 88203-4562 | 2016-10-11 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| Find all providers in ROSWELL | ||||
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| 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.