DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. JAMES EDDIE MOORE CADC-III

MEDICARE: MR. JAMES EDDIE MOORE CADC-III
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
1101YA0400XAddiction (Substance Use Disorder) Counselor2041WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427194877
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES EDDIE MOORE CADC-III
Provider Business Mailing Address
First Line : 5707 W AUER AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-3135
Country : US
Telephone Number : 414-444-3883
Fax Number :
Provider Business Practice Location Address
First Line : 2319 W CAPITOL DR
Second Line :
City : MILWAUKEE
State : WI
Zip : 53206-1919
Country : US
Telephone Number : 414-744-5370
Fax Number : 414-744-9052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2007
Last Update Date : 03/16/2015

Similar Medicare Providers

1770756801 — QUILLAN B GARRETT II MS CSW CSAC ICS
Practice Location Address:
2319 W CAPITOL DR
MILWAUKEE, WI
53206-1919
Practice Phone: 414-442-7720
Practice Fax: 414-442-2167
1023281987 — GATEWAY TO CHANGE
Practice Location Address:
2319 W CAPITOL DR
MILWAUKEE, WI
53206-1919
Practice Phone: 414-442-2033
Practice Fax: 414-442-2167
1306126214 — GATEWAY TO CHANGE
Practice Location Address:
2319 W CAPITOL DR
MILWAUKEE, WI
53206-1919
Practice Phone: 414-442-2033
Practice Fax: 414-442-2167
1538440268 — CARLOS B ROBINSON SAC
Practice Location Address:
2319 W CAPITOL DR
MILWAUKEE, WI
53206-1919
Practice Phone: 414-442-2033
Practice Fax: 414-442-2176
1952679458 — GATEWAY TO CHANGE
Practice Location Address:
2319 W CAPITOL DR
MILWAUKEE, WI
53206-1919
Practice Phone: 414-442-2033
Practice Fax:
1174956635 — MRS. MARIA A MOORE ICS
Practice Location Address:
2319 W CAPITOL DR
MILWAUKEE, WI
53206-1919
Practice Phone: 414-442-2033
Practice Fax: 414-442-2167

Directions to “ MR. JAMES EDDIE MOORE CADC-III” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.