Individual
AMANDA S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
290 SADDLE LAKE DR, ROSWELL, GA 30076-1050
(770) 561-4585
Mailing address
290 SADDLE LAKE DR, ROSWELL, GA 30076-1050
(770) 561-4585
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
MSW012593
GA
Other
Enumeration date
10/07/2008
Last updated
02/12/2026
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