Mikayla Moore

NPI 1104691781 · on the registry since 2023

Practice

Address: 330 E Beltline Ave Ne Ste 320
Grand Rapids, MI 49506
Phone: (616) 745-8640
Organisation at this address: Brian Ulrich Llc
Bowan Dialysis Llc
Mrj Counseling Llc
Calmara Counseling
Gr Therapy Collective
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 36

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-11-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan