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: NICOLE YVETTE MOORE LCAS-A

MEDICARE: NICOLE YVETTE MOORE LCAS-A
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) CounselorLCAS-30607NC

General Provider Information

NPI Number : 1457924052
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE YVETTE MOORE LCAS-A
Provider Business Mailing Address
First Line : 3800 ARCO CORPORATE DR STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4396
Country : US
Telephone Number : 336-662-7724
Fax Number :
Provider Business Practice Location Address
First Line : 3800 ARCO CORPORATE DR STE 150
Second Line :
City : CHARLOTTE
State : NC
Zip : 28273-4396
Country : US
Telephone Number : 336-662-7724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2021
Last Update Date : 02/26/2025

Similar Medicare Providers

1356094593 — MS. MEGAN LASHAY STEPHENS LCSWA
Practice Location Address:
3800 ARCO CORPORATE DR STE 150
CHARLOTTE, NC
28273-4396
Practice Phone: 866-338-5921
Practice Fax:
1336942614 — MRS. YESHA STOKES FLOWERS LCAS-A
Practice Location Address:
3800 ARCO CORPORATE DR STE 150
CHARLOTTE, NC
28273-4396
Practice Phone: 866-700-1606
Practice Fax:
1063799468 — SHANDA DAWNE WOODY LCMHC
Practice Location Address:
3800 ARCO CORPORATE DR STE 150
CHARLOTTE, NC
28273-4396
Practice Phone: 866-700-1606
Practice Fax: 866-338-5921
1982042008 — MS. SHERLINE CLAUDE FERNANDES MS
Practice Location Address:
3800 ARCO CORPORATE DR STE 150
CHARLOTTE, NC
28273-4396
Practice Phone: 866-700-1606
Practice Fax: 866-338-5921
1003396706 — KIMBERLY LAVERNE RUSHING LCSW-A
Practice Location Address:
3800 ARCO CORPORATE DR STE 150
CHARLOTTE, NC
28273-4396
Practice Phone: 866-700-1606
Practice Fax: 866-338-5921
1467188672 — JACOB CHRISTOPHER BAUM LCMHCA
Practice Location Address:
3800 ARCO CORPORATE DR STE 150
CHARLOTTE, NC
28273-4396
Practice Phone: 866-700-1606
Practice Fax:

Directions to “ NICOLE YVETTE MOORE LCAS-A” 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 © 2007-2025 (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.