Organization
MOORE THERAPY & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI MOORE LPCC (OWNER)
(505) 652-5386
Entity
Organization
Contact information
Practice address
1622 7TH ST, LAS VEGAS, NM 87701-4920
(505) 652-5386
Mailing address
1622 7TH ST, LAS VEGAS, NM 87701-4920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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