KELLYN DESIREE MOORE B.S.
NPI 1902179211
Counselor - Mental Health in Reno, NV
Active since February 16, 2012
About Kellyn Desiree Moore B.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLYN DESIREE MOORE B.S. (NPI 1902179211) is an individual mental health provider in Reno, Nevada and active in the NPI registry since February 2012.
NPPES Registry Identity
NPI1902179211
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLYN DESIREE MOORECredential: B.S.
Location Address1101 W MOANA LN, SUITE 2Reno, NV 89509-4775
Mailing Address3680 Meeks WayReno, NV 89503-1962 · (775) 815-8545
Phone(775) 337-2394
Fax(775) 337-9570
Sole ProprietorNo
Enumeration DateFebruary 16, 2012
Last NPPES UpdateMarch 21, 2012
✔ NPI 1902179211 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedBehavior AnalystTaxonomy 103K00000X
1101 W MOANA LN, Reno, NV 89509
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.
Counselor (Mental Health)
1101 W MOANA LN, SUITE 14
RENO, NV 89509
RENO, NV 89509
Counselor (Professional)
1101 W MOANA LN, SUITE 14
RENO, NV 89509
RENO, NV 89509
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902179211, enumerated as an "individual" on February 16, 2012.
The provider is located at 1101 W MOANA LN SUITE 2 RENO, NV 89509 and the phone number is (775) 337-2394.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.