MS. MELLAKNESE MOORE CPC-I, MS,ICADC, BSB
NPI 1215562806
Counselor - Professional in Las Vegas, NV
- Individual
- Female
- Counselor
- Professional
About MELLAKNESE MOORE
This page provides the complete NPI Profile along with additional information for Mellaknese Moore, a provider established in Las Vegas, Nevada with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1215562806 assigned on March 2020. The practitioner's primary taxonomy code is 101YP2500X with license number C15180 (NV). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1215562806 Verify this NPI
- Provider Name
- MS. MELLAKNESE MOORE CPC-I, MS,ICADC, BSB
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3785 E SUNSET RD LAS VEGAS, NV 89120
- Location Phone
- (702) 482-9620
- Mailing Address
- 9918 SHADOW GROVE AVE LAS VEGAS, NV 89148
- Mailing Phone
- (702) 935-0025
- Mailing Fax
- (702) 935-0008
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-04-2020
- Last Update Date
- 02-12-2024
- Code Navigator
Location Map
Secondary Locations
- 2780 S Jones Blvd Ste 100A
Las Vegas, NV 89146
(702) 820-3061 - 2920 N Green Valley Pkwy Ste 312
Henderson, NV 89014
(702) 935-0025
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- C15180
- License State
- NV
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 1501 (AR) |
Reviews for MS. MELLAKNESE MOORE CPC-I, MS,ICADC, BSB
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Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
LAS VEGAS, NV 89120
LAS VEGAS, NV 89120
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215562806, enumerated as an "individual" on March 04, 2020.
The provider is located at 3785 E SUNSET RD LAS VEGAS, NV 89120 and the phone number is (702) 482-9620.
Counselor with taxonomy code 101YP2500X and a focus in Professional.