Individual
MS. ANDREA T MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2970 UNIVERSITY PKWY STE 201, SARASOTA, FL 34243-2401
(941) 391-1399
Mailing address
2970 UNIVERSITY PKWY STE 201, SARASOTA, FL 34243-2401
(941) 391-1399
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH1637
FL
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101314600
—
FL
Enumeration date
10/18/2010
Last updated
11/17/2022
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