Individual
CORVELLA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
2002 S FILLMORE ST, LITTLE ROCK, AR 72204-4909
(501) 906-4928
(501) 421-0175
Mailing address
1600 ALDERSGATE RD, SUITE 200, LITTLE ROCK, AR 72205-6676
(501) 661-0720
(501) 325-7938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/22/2012
Last updated
05/11/2017
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