Venson Moore
Mental Health Counselor
6501 W 12th St
Little Rock
, Arkansas 72204-1511
Venson Moore
Mental Health Counselor
6501 W 12th St
Little Rock
, Arkansas 72204-1511
(501) 666-8686
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Venson Moore
- Po Box 251970
- Little Rock, AR
- Zip : 72225-1970
- Phone : (501) 666-8686
Second Address
- Venson Moore
- 6501 W 12th St
- Little Rock, AR
- Zip : 72204-1511
- Phone : (501) 666-8686
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003074675 |
|---|---|
| Provider Name | Venson Moore |
| First Address | Little Rock, AR 72225-1970 |
| Second Address | Little Rock, AR 72204-1511 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2008 |
| Last Update Date | 28/05/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.