| Provider / Organization | NPI | Date Certified |
|---|---|---|
| REGAN MOORE | 1265020788 | 2021-01-10 |
Regan Moore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265020788. Registration indicates Regan Moore is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Regan Moore LCMHC-A, NCC |
| Practice Office Address | 509 SPARTANBURG AVE CAROLINA BEACH, NC US |
| Practice Office Telephone | 7045303476 |
| Mailing Address | 509 SPARTANBURG AVE CAROLINA BEACH, NC 284285210 US |
| Business Telephone | 7045303476 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers |