Individual
NELLVETTA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPATA
Contact information
Practice address
233 E MAGNOLIA AVE APT 2, LOUISVILLE, KY 40208-2052
(502) 718-1184
Mailing address
233 E MAGNOLIA AVE APT 2, LOUISVILLE, KY 40208-2052
(502) 718-1184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
288712
KY
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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