Provider Demographics
NPI:1952836561
Name:F.J. MOORE COUNSELING, LLC
Entity Type:Organization
Organization Name:F.J. MOORE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC, NCC
Authorized Official - Phone:610-601-5950
Mailing Address - Street 1:1733 WASHINGTON BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-4622
Mailing Address - Country:US
Mailing Address - Phone:610-601-5950
Mailing Address - Fax:610-601-5930
Practice Address - Street 1:1733 WASHINGTON BLVD STE 108
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-4622
Practice Address - Country:US
Practice Address - Phone:610-601-5950
Practice Address - Fax:610-601-5930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty