HOLLY MARIE MOORE


Address: 720 Wood St, Eureka, CA 95501-4413
Phone: 7072682990

HOLLY MARIE MOORE (NPI# 1568944478) 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) 1568944478
Entity Type Individual
Full Name HOLLY MARIE MOORE
Other Name HOLLY MARIE HOAGLAND
Credential ASW
Practice Address 720 Wood St
Eureka
CA 95501-4413
Mailing Address 1025 Cousins St Apt D
Eureka
CA 95501-5623
Practice Telephone 7072682990
Mailing Telephone 9166133321
Enumeration Date 2018-09-06
Last Update Date 2019-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 85423 CA Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 85423 CA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
290 E Gobbi St, Ukiah, CA 954825559 7074633300 7074633318

Other Providers HOLLY MOORE

NPI Name Taxonomy Address Enumeration
1902363906 Holly Moore Psychologist 281 Pennsylvania Ave, Massapequa Park, NY 11762-2846 2019-02-26
1801325477 Holly Elizabeth Moore Counselor 2000 W Briggsmore Ave Ste 1, Modesto, CA 95350-3839 2017-06-07
1063704369 Holly E Moore Counselor 31 Morrow St, Mansfield, MA 02048-1322 2011-05-05
1255648390 Holly Suzanne Moore Skilled Nursing Facility 202 West Davenport Street, Crossville, IL 62827 2010-09-10
1992994479 Holly D Moore Counselor 212 Cherokee Rd, Thomaston, GA 30286-3402 2007-10-19
1659982411 Holly Marie Moore Nurse Practitioner 2 Saint Vincent Cir, Little Rock, AR 72205-5423 2020-08-13
1578120986 Holly Reith Moore Licensed Practical Nurse 35 12th St Se, Paris, TX 75460-6006 2019-05-21
1598277899 Holly Truong Moore Nurse Practitioner 300 Pasteur Dr, Palo Alto, CA 94304-2203 2017-10-27
1215333679 Holly Lynn Moore Social Worker 9724 Kingston Pike, Suite 405, Knoxville, TN 37922-3347 2014-11-13
1417367897 Holly Kebodeaux Moore Speech-Language Pathologist 211 N 3rd St, Suite 1, Monroe, LA 71201-6731 2014-05-06

Office Location

Street Address 720 WOOD ST
City EUREKA
State CA
Zip Code 95501-4413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780646521 Janese Charpentier Nurse Practitioner 720 Wood St, Eureka, CA 95501-4413 2006-04-05
1215537998 Angela Dawn Tierno Blackthorne Counselor 720 Wood St, Eureka, CA 95501-4413 2020-10-30
1164029534 Laura Tansley Conger Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-10-07
1679170120 Robert William Williams Community Health Worker 720 Wood St, Eureka, CA 95501-4413 2020-10-07
1144827049 James Rager Anderson Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-10-04
1710593173 Jody Swan Student in an Organized Health Care Education/Training Program 720 Wood St, Eureka, CA 95501-4413 2020-09-21
1669088340 Eric Hall Community Health Worker 720 Wood St, Eureka, CA 95501-4413 2020-09-18
1073127403 Christiane Desir Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-09-02
1093325508 Edmund Sanez Lao Registered Nurse 720 Wood St, Eureka, CA 95501-4413 2020-08-09
1730799180 Robert Christopher Amerman Counselor 720 Wood St, Eureka, CA 95501-4413 2020-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538795919 Eric Meyer Goldsmith Physical Therapist 2306 Dean Street, Eureka, CA 95501 2020-03-18
1609406404 Humboldt County Behavioral Health Community/Behavioral Health 638 W Clark St., Bldg. E, Eureka, CA 95501 2020-01-21
1740831767 Jacqueline Renee Coghill Nurse Practitioner Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 2019-09-20
1982177275 Jenny Bugnacki Case Manager/Care Coordinator 721 Wood St, Eureka, CA 95501 2019-01-09
1073023107 Humboldt Recovery Center Inc. Substance Abuse Rehabilitation Facility 1303 11th St, Eureka, CA 95501 2017-10-03
1730698283 Gabriel Holtski Naturopath 1632 Broadway, Suite #252, Eureka, CA 95501 2017-09-27
1164951851 Redwood Community Services, Inc. Foster Care Agency 2426 6th St, Eureka, CA 95501 2017-06-07
1033651922 Narum Clinical Services Social Worker 930 3rd St, Suite 201, Eureka, CA 95501 2016-11-09
1750839510 Sierra Marie Evers-hellmich Physical Medicine & Rehabilitation 2103 Myrtle Avenue, Eureka, CA 95501 2016-09-21
1558720623 Jennifer Vu Behavioral Analyst 730 7th St Ste A, Eureka, CA 95501 2016-02-18
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083196620 Katelyn Molly Bawcom Counselor 929 Koster St, Eureka, CA 95501-0106 2018-08-30
1750867644 Janice Jennifer Yeater Counselor 2308 Bayview Ln, Eureka, CA 95503-7301 2018-07-14
1619371325 Lindsey Flores Counselor 270 Wood St, Eureka, CA 95501-5559 2014-10-09
1538439963 Kaia Michelle Kordic Counselor 537 G St Ste 200, Eureka, CA 95501 2012-01-02
1659651370 Ian Douglas Mackelvie Counselor 1302 11th St, Eureka, CA 95501-2029 2011-08-25
1366751166 Karly Quinn Mertz Counselor 2257 Myrtle Ave, Eureka, CA 95501-3486 2010-09-28
1992026876 Marie Isabel Fazzone Counselor 310 3rd St Ste C, Eureka, CA 95501-0587 2010-06-15
1467606368 Kristin Leigh Perkins Counselor 434 7th St Ste 212, Eureka, CA 95501-1803 2008-11-05
1528181070 Mario R Jiminez Counselor 507 F St, Eureka, CA 95501-1009 2007-04-09
1396749230 Roxanne Halczak Counselor 1711 3rd St, Eureka, CA 95501-0714 2005-06-09
Find all providers in EUREKA

Competitor

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City EUREKA
Zip Code 95501

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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