Provider Demographics
NPI:1770301574
Name:MORE MENTAL HEALTH COUNSELING
Entity type:Organization
Organization Name:MORE MENTAL HEALTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:CENTENO
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:209-505-2735
Mailing Address - Street 1:916 FOXCROFT LN
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-4706
Mailing Address - Country:US
Mailing Address - Phone:209-505-2735
Mailing Address - Fax:
Practice Address - Street 1:384 E OLIVE AVE STE 2
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-4051
Practice Address - Country:US
Practice Address - Phone:209-505-2735
Practice Address - Fax:209-289-0038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty