Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PREMIER COUNSELING AND PSYCHOLOGICAL SERVICES
Active
Organization
PREMIER COUNSELING AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATREASE R MOORE PHD (CO-OWNER)
(317) 985-0173
Entity
Organization
Contact information
Practice address
1756 BLACK RIVER BLVD N # 186, ROME, NY 13440-2454
(317) 985-0173
Mailing address
1756 BLACK RIVER BLVD N # 186, ROME, NY 13440-2454
(317) 985-0173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/01/2021
Last updated
12/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up