Organization
MOORE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MOORE LPC (COUNSELOR)
(337) 852-4781
Entity
Organization
Contact information
Practice address
119 CAILLOUETT PL, LAFAYETTE, LA 70501-7807
(337) 366-1801
Mailing address
119 CAILLOUETT PL, LAFAYETTE, LA 70501-7807
(337) 366-1801
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
175L00000X
Homeopath
—
—
Other
Enumeration date
08/25/2020
Last updated
09/26/2023
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