Provider Demographics
NPI:1760245559
Name:MOORE & ASSOCIATES, INC
Entity Type:Organization
Organization Name:MOORE & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFRY
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LAC, LAMFT
Authorized Official - Phone:501-517-2024
Mailing Address - Street 1:630 LAKE TREE LN
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72120-3482
Mailing Address - Country:US
Mailing Address - Phone:501-517-2024
Mailing Address - Fax:
Practice Address - Street 1:10201 W MARKHAM ST STE 324
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2195
Practice Address - Country:US
Practice Address - Phone:501-502-0317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty