MISS DIANNE MOORE NPI 1811497092

NPI Information

NPI: 1811497092
Provider Name: MISS DIANNE MOORE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1543 GRIMMETT DR
SHREVEPORT, LA
ZIP 71107
Phone: (318) 626-5597
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MISS Dianne Moore is a mental health counselor in Shreveport, LA. MISS Dianne Moore NPI is 1811497092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1543 GRIMMETT DR
SHREVEPORT, LA
ZIP 71107-505
Phone: (318) 626-5597

The enumeration date for this NPI number is 2/14/2018 and was last updated on 9/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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