Organization
COURTNEY MOORE MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY L MOORE PMHNP-BC (OWNER AND SOLE PROVIDER)
(812) 345-7268
Entity
Organization
Contact information
Practice address
654 S WALKER ST, BLOOMINGTON, IN 47403-2159
(812) 369-4344
Mailing address
4325 E CRICKET KNL, BLOOMINGTON, IN 47401-8103
(812) 345-7268
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/19/2021
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