Sonya Glyn Moore, MS, LADAC II is a
Psychologist - Addiction (substance Use Disorder) based in Morristown, Tennessee. Sonya Glyn Moore is licensed to practice in Tennessee (license number LDC0000001260) and her current practice location is
400 W 1st North St Ste D, Morristown, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(828) 335-2310.
NPI number for Sonya Glyn Moore is 1255736153 and her current mailing address is 4845 W Andrew Johnson Hwy, Morristown, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255736153.
Healthcare Provider's Profile
| Full Name | Sonya Glyn Moore |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 400 W 1st North St Ste D, Morristown, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255736153
- Provider Enumeration Date: 11/04/2014
- Last Update Date: 04/01/2025
Medical Identifiers
Medical identifiers for Sonya Glyn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255736153 | NPI | - | NPPES |
| Q028453 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | LDC0000001260 (Tennessee) | 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. Sonya Glyn 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 Address | Practice Location Address |
|---|
Sonya Glyn Moore, MS, LADAC II
4845 W Andrew Johnson Hwy,
Morristown, TN 37814-1023
Ph: (828) 335-2310 | Sonya Glyn Moore, MS, LADAC II
400 W 1st North St Ste D,
Morristown, TN 37814-4617
Ph: (828) 335-2310 |
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