DEBRA MOORES
NPI 1639478134
Counselor - Professional in East Hartford, CT
Active since March 23, 2011
About Debra Moores NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEBRA MOORES (NPI 1639478134) is an individual professional provider in East Hartford, Connecticut, licensed in Connecticut (2761) and active in the NPI registry since March 2011. She maintains a secondary practice location in New London.
NPPES Registry Identity
NPI1639478134
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDEBRA MOORES
Location Address474R SCHOOL STEast Hartford, CT 06108-1149
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 731-5522 · Fax (860) 731-5536
Phone(860) 730-8811
Fax(860) 731-5536
Sole ProprietorNo
Enumeration DateMarch 23, 2011
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1639478134 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CT · 2761✔ Licensed in RI · MHC00680
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
474R SCHOOL ST, East Hartford, CT 06108
Other Names 1
Former Name (1)Debra Scheinblum
Secondary Practice Location 1
Location 17 Vauxhall StNew London, CT 06320-5711 · Phone (860) 442-2797
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639478134, enumerated as an "individual" on March 23, 2011.
The provider is located at 474R SCHOOL ST EAST HARTFORD, CT 06108 and the phone number is (860) 730-8811.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
