Melissa Raenae Moore, CADC - Counselor in London, KY

Melissa Raenae Moore, CADC is a Counselor - Addiction (substance Use Disorder) based in London, Kentucky. Melissa Raenae Moore is licensed to practice in Kentucky (license number 275318) and her current practice location is 1501 S Main St Ste H, London, Kentucky. She can be reached at her office (for appointments etc.) via phone at (606) 393-6695.

NPI number for Melissa Raenae Moore is 1467231902 and her current mailing address is 4 Gilliam St, Corbin, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467231902.

Contact Information

Melissa Raenae Moore, CADC
1501 S Main St Ste H,
London, KY 40741-2091
(606) 393-6695
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMelissa Raenae Moore
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1501 S Main St Ste H, London, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467231902
  • Provider Enumeration Date: 09/25/2023
  • Last Update Date: 09/25/2023

Medical Identifiers

Medical identifiers for Melissa Raenae Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467231902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 275318 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Raenae Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Melissa Raenae Moore, CADC
4 Gilliam St,
Corbin, KY 40701-1520

Ph: (606) 401-7647
Melissa Raenae Moore, CADC
1501 S Main St Ste H,
London, KY 40741-2091

Ph: (606) 393-6695

Reviews and Comments


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