Organization
LIVE AND LEARN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMILLA JOY MOORE LPC, NCC (THERAPIST,PSYCHOMETRIST,)
(601) 384-7551
Entity
Organization
Contact information
Practice address
353 BELLS FERRY DR, BILOXI, MS 39531-2258
(601) 384-7551
Mailing address
989 GREYSTONE DR, BILOXI, MS 39532-2251
(601) 384-7551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2191
MS
101YP2500X
Professional Counselor
2191
MS
102L00000X
Psychoanalyst
2191
MS
Other
Enumeration date
06/28/2016
Last updated
10/27/2017
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