IndividualActive
Angela Moore
NPI 1417488677 · Addiction (Substance Use Disorder) Counselor · Citra, FL
Provider details
- NPI number
- 1417488677
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
15681 N US Highway 301
Citra, FL 32113-3154
Phone: (352) 595-5000
Approximate (ZIP-level) locationGet directions
Mailing address
15681 N US Highway 301
Citra, FL 32113-3154
Registry dates
- Enumerated
- 2017-03-21
- Last updated
- 2017-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.