Provider Demographics
NPI:1295106888
Name:SANDI MOORE-BEINORAS COUNSELING
Entity type:Organization
Organization Name:SANDI MOORE-BEINORAS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE-BEINORAS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, PMH-APRN
Authorized Official - Phone:603-455-3437
Mailing Address - Street 1:25 COUNTRY CLUB RD, SUITE 601
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249
Mailing Address - Country:US
Mailing Address - Phone:603-455-3437
Mailing Address - Fax:603-524-0718
Practice Address - Street 1:25 COUNTRY CLUB RD, SUITE 601
Practice Address - Street 2:
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249
Practice Address - Country:US
Practice Address - Phone:603-455-3437
Practice Address - Fax:603-524-0718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH034278-23364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty