Taneisha Moss's National Provider Identifier (NPI) Details
Taneisha Moss, MS, LPC, NCC
NPI: 1619566767
Enumeration Date: 2021-01-13
Last updated: 2021-09-13
Sole Proprietor: YES
Status: active
Postal Address: 6764 BLANTYRE BLVD, STONE MOUNTAIN, GA
Phone: 770-712-8907
Primary Practice Address: 341 OAKTOWN PL, LAWRENCEVILLE, GA
Practice's phone: 770-712-8907