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NPI Code Detail

MEDICARE: SOPHIE ELIZABETH MOORMAN

MEDICARE:   SOPHIE ELIZABETH MOORMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorTN

General Provider Information

NPI Number : 1063346609
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIE ELIZABETH MOORMAN
Provider Business Mailing Address
First Line : 7914 GLEASON DR APT 1035
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-5467
Country : US
Telephone Number : 615-513-2122
Fax Number :
Provider Business Practice Location Address
First Line : 8880 CEDAR SPRINGS LN STE 105
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-5400
Country : US
Telephone Number : 865-226-9428
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ SOPHIE ELIZABETH MOORMAN ” Practice Location

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