| Roy F Moore Jr, | |
|
121 E 2nd St Ste 401, Owensboro, KY 42303-4125 | |
| (559) 930-8768 | |
| Not Available |
| Full Name | Roy F Moore Jr |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 121 E 2nd St Ste 401, Owensboro, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821647710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 290414 (Kentucky) | Primary |
| Entity Name | Truenorth Treatment Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871067611 PECOS PAC ID: 5294068813 Enrollment ID: O20190612003168 |
| Mailing Address | Practice Location Address |
|---|---|
| Roy F Moore Jr, 121 E 2nd St Ste 401, Owensboro, KY 42303-4125 Ph: () - | Roy F Moore Jr, 121 E 2nd St Ste 401, Owensboro, KY 42303-4125 Ph: (559) 930-8768 |
Jessica Joyce Page, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1100 Walnut St, Owensboro, KY 42301 Phone: 270-689-6500 Fax: 270-689-6677 | |
Kathleen Peters, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3520 New Hartford Rd Ste 401, Owensboro, KY 42303 Phone: 270-926-4880 Fax: 270-926-4883 | |
Ginger Rae Smith, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2720 Frederica St, Owensboro, KY 42301 Phone: 270-926-2484 |