Mrs Angela Ellen Moore, LCMHCS - Counselor in Jacksonville, NC

Mrs Angela Ellen Moore, LCMHCS is a Counselor - Mental Health based in Jacksonville, North Carolina. Mrs Angela Ellen Moore is licensed to practice in North Carolina (license number S5187) and her current practice location is 824 Gum Branch Rd Ste O, Jacksonville, North Carolina. She can be reached at her office (for appointments etc.) via phone at (910) 381-3333.

NPI number for Mrs Angela Ellen Moore is 1265533368 and her current mailing address is Po Box 220, Jacksonville, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265533368.

Contact Information

Mrs Angela Ellen Moore, LCMHCS
824 Gum Branch Rd Ste O,
Jacksonville, NC 28540-6269
(910) 381-3333
(910) 989-0377

Map and Direction


Healthcare Provider's Profile

Full NameMrs Angela Ellen Moore
GenderFemale
SpecialityCounselor - Mental Health
Location824 Gum Branch Rd Ste O, Jacksonville, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265533368
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 02/25/2020

Medical Identifiers

Medical identifiers for Mrs Angela Ellen Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265533368NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist S5187 (North Carolina)Secondary
101YM0800XCounselor - Mental Health S5187 (North Carolina)Primary
101Y00000XCounselor S5187 (North Carolina)Secondary
101YP2500XCounselor - Professional S5187 (North Carolina)Secondary
104100000XSocial Worker S5187 (North Carolina)Secondary

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. Mrs Angela Ellen 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
Mrs Angela Ellen Moore, LCMHCS
Po Box 220,
Jacksonville, NC 28541-0220

Ph: (910) 381-3333
Mrs Angela Ellen Moore, LCMHCS
824 Gum Branch Rd Ste O,
Jacksonville, NC 28540-6269

Ph: (910) 381-3333

Reviews and Comments


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