Organization
MOORE MENTAL HEALTH SERVICES, CORPORATION
Active
Organization
MOORE MENTAL HEALTH SERVICES, CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERNA H KLINKHAMMER-MOORE LCSW (PRESIDENT)
(404) 377-4706
Entity
Organization
Contact information
Practice address
2394 CHARLESTON OAKS LN, DECATUR, GA 30030-1451
(404) 377-4706
(404) 377-4174
Mailing address
2394 CHARLESTON OAKS LN, DECATUR, GA 30030-1451
(404) 377-4706
(404) 377-4174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002089
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055003553A
—
GA
Enumeration date
09/17/2006
Last updated
03/02/2013
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