Organization
ENTERING WELLNESS MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMDIYA MOORE (PARTNER)
(919) 793-6410
Entity
Organization
Contact information
Practice address
10100 N CENTRAL EXPY STE 275, DALLAS, TX 75231-4458
(919) 793-6410
Mailing address
8362 GAITHER ST, MANASSAS, VA 20110-3009
(919) 793-6410
(888) 801-9412
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
07/22/2022
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