Individual
ASHA MOORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.C.
Contact information
Practice address
3276 COMMERCE CENTER PL, LOUISVILLE, KY 40211-1900
(502) 554-6245
Mailing address
1822 OEHRLE DR, LOUISVILLE, KY 40216-4724
(502) 554-6245
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171771
LICENSED PROFESSIONAL COUNSELOR ASSOCIATE
KY
01
—
244981
LPCC
KY
Enumeration date
08/09/2017
Last updated
12/13/2018
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