Individual
CARMELLA I MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2900 SE TREASURE ISLAND RD, PORT SAINT LUCIE, FL 34952-5773
(771) 208-9447
(772) 408-9619
Mailing address
2900 SE TREASURE ISLAND RD, PORT SAINT LUCIE, FL 34952-5773
(772) 208-9447
(772) 408-9619
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH17480
FL
Other
Enumeration date
12/02/2014
Last updated
05/30/2025
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