Healthcare Provider Details

I. General information

NPI: 1790858595
Provider Name (Legal Business Name): VALMOOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 01/12/2021
Certification Date: 01/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 EXECUTIVE PARKWAY 8TH FL
TOLEDO OH
43606-1309
US

IV. Provider business mailing address

3130 EXECUTIVE PARKWAY 8TH FL
TOLEDO OH
43606-1309
US

V. Phone/Fax

Practice location:
  • Phone: 419-720-9000
  • Fax: 419-720-9002
Mailing address:
  • Phone: 419-720-9000
  • Fax: 419-720-9002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JAMES CHARLES MOORE
Title or Position: OWNER
Credential:
Phone: 419-720-9000