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Contact Information

DAVID I MOORE, LPC, NCC, ADC
208 E 1ST AVE
EASLEY, SC29640-3039
 Phone: 864-898-5800
 Fax: 864-898-5804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for DAVID I MOORE · (Male)

NPI Number 1023502085
Status Active
Credentials LPC, NCC, ADC
Entity Individual
Enumeration date 06/21/2018
Last updated 02/24/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR Medicaid 122994
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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