Organization
MONIQUE MOORE LMHC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE S MOORE (MANAGER)
(904) 468-7731
Entity
Organization
Contact information
Practice address
86155 COURTNEY ISLES WAY, YULEE, FL 32097-3526
(904) 687-7731
(904) 875-5088
Mailing address
PO BOX 655, YULEE, FL 32041-0655
(904) 687-7731
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
07/23/2024
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