KYLA KENYETTA MOORE (NPI# 1841709128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841709128 |
| Entity Type | Individual |
| Full Name | KYLA KENYETTA MOORE |
| Credential | MA, LPCI, CAC-P |
| Practice Address |
187 W Broad St Spartanburg SC 29306-3234 |
| Practice Telephone | 8645827588 |
| Mailing Telephone | 8645827588 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972040905 | Kyla Moore | Speech-Language Pathologist | 6591 Sparrow Pt, Mckinney, TX 75071-3076 | 2017-01-29 |
| 1649745654 | Kyla Elaine Moore | Nurse Practitioner | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2018-10-05 |
| Street Address |
187 W BROAD ST |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29306-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689701393 | Marvin Allen Jones | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2007-02-28 |
| 1518568716 | Brienna Leamon | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2020-11-04 |
| 1326649526 | Kara Young | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2020-11-04 |
| 1245871490 | Chakira Anthani Worthy | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2019-09-30 |
| 1073167490 | Nicole Dionne | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2019-07-25 |
| 1205480662 | Melody Grace Juarez | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2019-07-24 |
| 1538721618 | Sherry Annette Mcadams | Social Worker | 187 W Broad St, Spartanburg, SC 29306-3234 | 2019-06-28 |
| 1659937589 | The Forrester Center for Behavioral Health | Substance Abuse Rehabilitation Facility | 187 W Broad St, Spartanburg, SC 29306-3234 | 2019-05-16 |
| 1578024634 | Ashley R Jeter | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2019-03-29 |
| 1841763034 | Dallis C Miller | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2019-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487111738 | Paladina Health, LLC | Family Medicine | Paladina Health Spartanburg Palmetto Bank, 101 West Saint John Street Suite 107, Spartanburg, SC 29306 | 2019-02-22 |
| 1295253441 | Michael Neal Quinn | Chiropractor | 851 John B White Sr Blvd, Spartanburg, SC 29306 | 2017-09-07 |
| 1003347980 | T and T Home Health Care | Home Health | 1315 John B White Sr Blvd, Spartanburg, SC 29306 | 2017-03-23 |
| 1942601174 | Carolina Dental Docs LLC General Dentistry for Kids | Dentist | 1460 John B White Sr Blvd, Ste 1-c, Spartanburg, SC 29306 | 2014-09-08 |
| 1801237375 | Jireh Services,llc | Specialist | 180 John B. White Sr. Blvd, Spartanburg, SC 29306 | 2013-07-12 |
| 1811268683 | Rochelle Janene Delain | Chiropractor | 1425 John B. White, Sr. Boulevard, Spartanburg, SC 29306 | 2012-01-25 |
| 1366602229 | Jasjot K. Bhullar | Internal Medicine | 1410-b John B. White Sr. Boulevard, Spartanburg, SC 29306 | 2008-06-13 |
| 1356543045 | Cheryl B Haman | Counselor | 200 Ezell Street, Spartanburg, SC 29306 | 2007-06-04 |
| 1821142506 | Paula F Wilson | Counselor | 335 Caulder Ave, Spartanburg, SC 29306 | 2007-01-22 |
| 1154473163 | Ronald E Marshall Dds Pa | Dentist | 1410 John B White Sr Blvd, Spartanburg, SC 29306 | 2007-01-18 |
| Find all providers in zip 29306 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003270794 | Edmund Jackson Scott Jr. | Counselor | 187 W Broad St Ste 200, Spartanburg, SC 29306-3234 | 2016-04-08 |
| 1427413418 | H&w Enterprises of Nc | Counselor | 104 Franklin Ave Ste A, Spartanburg, SC 29301-2596 | 2015-12-18 |
| 1679945083 | Elena Newman | Counselor | 112 Bain Dr, Spartanburg, SC 29307-3015 | 2015-10-24 |
| 1346588027 | Elaine J Lang | Counselor | 657 Hwy 221 North (whitney Rd.), Spartanburg, SC 20303 | 2013-01-30 |
| 1548507148 | Janice Hall Higginbotham | Counselor | 187 West Broad Street, Suite 200, Sadac, Spartanburg, SC 29306-3234 | 2013-01-16 |
| 1689701393 | Marvin Allen Jones | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2007-02-28 |
| 1821142506 | Paula F Wilson | Counselor | 335 Caulder Ave, Spartanburg, SC 29306 | 2007-01-22 |
| 1134158090 | Derrick Lavon Hightower | Counselor | 710 S Church St, Spartanburg, SC 29306-5345 | 2006-07-02 |
| 1114953288 | Julia S Moore | Counselor | 460 Langdon St, Spartanburg, SC 29302-1614 | 2006-06-23 |
| 1518568716 | Brienna Leamon | Counselor | 187 W Broad St, Spartanburg, SC 29306-3234 | 2020-11-04 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29306 |
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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.