Organization
MOORE WAYS TO SUCCESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE CLARK MOORE CRC, LPCA (CEO)
(336) 391-1601
Entity
Organization
Contact information
Practice address
500 W 4TH ST STE 203G, WINSTON SALEM, NC 27101-2782
(336) 391-1601
Mailing address
5510 BROOKFIELD RIDGE DR, WINSTON SALEM, NC 27105-1757
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00282458
NC
101YP2500X
Professional Counselor
A13571
NC
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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