Provider Demographics
NPI:1811684012
Name:MARRIAGE MEANS MOORE INC
Entity type:Organization
Organization Name:MARRIAGE MEANS MOORE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE COACH
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-571-7040
Mailing Address - Street 1:29488 WOODWARD AVE # 507
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-0903
Mailing Address - Country:US
Mailing Address - Phone:248-571-7040
Mailing Address - Fax:313-217-3246
Practice Address - Street 1:23571 GENEVA ST
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2198
Practice Address - Country:US
Practice Address - Phone:248-571-7040
Practice Address - Fax:313-217-3246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty