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. DAN MOORE M.S., L.A.C.

MEDICARE: MR. DAN MOORE M.S., L.A.C.
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 CounselorA0011054AR

General Provider Information

NPI Number : 1982733952
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAN MOORE M.S., L.A.C.
Provider Business Mailing Address
First Line : 1101 W 3RD ST
Second Line :
City : FORDYCE
State : AR
Zip : 71742-3014
Country : US
Telephone Number : 870-352-5122
Fax Number : 870-352-5127
Provider Business Practice Location Address
First Line : 1101 W 3RD ST
Second Line :
City : FORDYCE
State : AR
Zip : 71742-3014
Country : US
Telephone Number : 870-352-5122
Fax Number : 870-352-5127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1912941220 — FORDYCE COUNSELING CLINIC, INC.
Practice Location Address:
1101 W 3RD ST
FORDYCE, AR
71742-3014
Practice Phone: 870-352-5122
Practice Fax: 870-352-5127
1902935786 — MR. TAVANTE CALHOUN MHPP
Practice Location Address:
1101 W 3RD ST
FORDYCE, AR
71742-3014
Practice Phone: 870-352-5122
Practice Fax: 870-352-5127
1235268152 — MS. PAM BARTHOLOMEW MHPP
Practice Location Address:
1101 W 3RD ST
FORDYCE, AR
71742-3014
Practice Phone: 870-352-5122
Practice Fax: 870-352-5127
1619006475 — MR. BARRY BRAY MHPP
Practice Location Address:
1101 W 3RD ST
FORDYCE, AR
71742-3014
Practice Phone: 870-352-5122
Practice Fax: 870-352-5127
1871622647 — MRS. STACEY BRUNSON MHPP
Practice Location Address:
1101 W 3RD ST
FORDYCE, AR
71742-3014
Practice Phone: 870-352-5122
Practice Fax: 870-352-5127
1750410544 — MRS. FREDDIE CARR MHPP
Practice Location Address:
1101 W 3RD ST
FORDYCE, AR
71742-3014
Practice Phone: 870-352-5122
Practice Fax: 870-352-5127

Directions to “ MR. DAN MOORE M.S., L.A.C.” 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.