Tiffany Moore, in Marietta, GA - Dance Therapist

Tiffany Moore, is a Dance Therapist based in Marietta, Georgia. Tiffany Moore is licensed to practice in * (Not Available) (license number ) and her current practice location is 1557 Terrell Mill Rd Se Apt 4700g, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 651-6050.

NPI number for Tiffany Moore is 1043948920 and her current mailing address is 1557 Terrell Mill Rd Se Apt 4700g, Marietta, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043948920.

Contact Information

	Tiffany Moore,
	1557 Terrell Mill Rd Se Apt 4700g, Marietta, GA 30067-3087
	(678) 651-6050
	Not Available

Healthcare Provider's Profile

Full Name	Tiffany Moore
Gender	Female
Speciality	Dance Therapist
Location	1557 Terrell Mill Rd Se Apt 4700g, Marietta, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1043948920
Provider Enumeration Date: 08/09/2022
Last Update Date: 08/23/2022

Medical Identifiers

Medical identifiers for Tiffany Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043948920	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225XP0019X	Occupational Therapist - Physical Rehabilitation	(* (Not Available))	Secondary
225600000X	Dance Therapist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tiffany Moore, 1557 Terrell Mill Rd Se Apt 4700g, Marietta, GA 30067-3087 Ph: (678) 651-6050	Tiffany Moore, 1557 Terrell Mill Rd Se Apt 4700g, Marietta, GA 30067-3087 Ph: (678) 651-6050

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Tiffany Moore, - in Marietta, GA