| Kristen N Moore Lmsw Pllc | |
|
212 W Highland Rd Ste 102 Highland MI 48357-4504 | |
| (734) 304-0771 | |
| Not Available |
| Full Name | Kristen N Moore Lmsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 212 W Highland Rd Ste 102, Highland, Michigan |
| Authorized Official Name and Position | Kristen Nicole Moore (OWNER) |
| Authorized Official Contact | 7343040771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen N Moore Lmsw Pllc 212 W Highland Rd Ste 102 #1004 Highland MI 48357 Ph: (734) 304-0771 | Kristen N Moore Lmsw Pllc 212 W Highland Rd Ste 102 Highland MI 48357-4504 Ph: (734) 304-0771 |
| NPI Number | 1508643511 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 04/03/2026 |
| Certification Date | 04/03/2026 |
| Medicare PECOS PAC ID | 2668818063 |
|---|---|
| Medicare Enrollment ID | O20240307002902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508643511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristen N Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619345238 PECOS PAC ID: 5799039756 Enrollment ID: I20181112000843 |
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