Provider Demographics
NPI:1669132049
Name:MOORBY, CARA MAE (LCMHC)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:MAE
Last Name:MOORBY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CURTIS AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05408-2407
Mailing Address - Country:US
Mailing Address - Phone:802-343-0126
Mailing Address - Fax:
Practice Address - Street 1:1 MAIN ST STE 311
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-8480
Practice Address - Country:US
Practice Address - Phone:802-343-0126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0134434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health