Organization
THE MOORE EXPERIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANESE M MOORE LPC (CEO)
(770) 609-7288
Entity
Organization
Contact information
Practice address
4500 HUGH HOWELL RD STE 620D, TUCKER, GA 30084-4720
(678) 522-2472
(470) 777-2790
Mailing address
375 ROCKBRIDGE RD NW STE 172-350, LILBURN, GA 30047-8225
(678) 522-2472
(470) 777-2790
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2018
Last updated
03/25/2021
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