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Contact Information

SONYA G MOORE, M.S. , LADAC II
400 W 1ST NORTH ST STE D
MORRISTOWN, TN37814-4617
 Phone: 828-335-2310
 Fax: 423-266-5101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

101YA0400X
 

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SONYA G MOORE · (Female)

NPI # 1255736153
Status Active
Credentials M.S. , LADAC II
Entity Individual
Enumeration date 11/04/2014
Last updated 04/01/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • TN License # LDC0000001260
  • TN Medicaid Q028453
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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