Individual
MS. LYSBETH IRENE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., LPC
Contact information
Practice address
71 WHITE BLUFF AVENUE, 71 WHITE BLUFF AVENUE, SAVANNAH, GA 31419
(191) 284-4038
Mailing address
71 WHITE BLUFF AVE, SAVANNAH, GA 31419-3153
(191) 284-4038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007749
GA
101YP2500X
Professional Counselor
Primary
LPC007749
GA
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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