| Tammy Lynn Moore | |
|
1200 W 5th Ave Ste 102d Columbus OH 43212-2503 | |
| (614) 398-1180 | |
| Not Available |
| Full Name | Tammy Lynn Moore |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 W 5th Ave Ste 102d, Columbus, Ohio |
| Authorized Official Name and Position | Tammy Lynn Moore (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6143981180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Lynn Moore 1200 W 5th Ave Ste 102d Columbus OH 43212-2503 Ph: () - | Tammy Lynn Moore 1200 W 5th Ave Ste 102d Columbus OH 43212-2503 Ph: (614) 398-1180 |
| NPI Number | 1962771394 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 12/13/2011 |
| Medicare PECOS PAC ID | 9638314891 |
|---|---|
| Medicare Enrollment ID | O20130319000102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962771394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tammy Lynn Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659665750 PECOS PAC ID: 7618112871 Enrollment ID: I20130319000130 |
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