Provider Demographics
NPI:1093877037
Name:MOORER, BARBARA JOHNAE (MA, CADCII, ICADC)
Entity Type:Individual
Prefix:MISS
First Name:BARBARA
Middle Name:JOHNAE
Last Name:MOORER
Suffix:
Gender:F
Credentials:MA, CADCII, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2872 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-3254
Mailing Address - Country:US
Mailing Address - Phone:404-310-1133
Mailing Address - Fax:888-830-5578
Practice Address - Street 1:2872 CHURCH ST
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-3254
Practice Address - Country:US
Practice Address - Phone:404-310-1133
Practice Address - Fax:888-830-5578
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health