Individual
MRS. AEREIL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCMHC
Contact information
Practice address
2150 COUNTRY CLUB RD STE 228, WINSTON SALEM, NC 27104-4241
(336) 203-8855
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25198
NC
101YM0800X
Mental Health Counselor
14537
NC
101YP2500X
Professional Counselor
Primary
14537
NC
Other
Enumeration date
01/17/2020
Last updated
11/17/2025
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