Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACEY BRIGHAM MOORE
Active Sole ProprietorMRS. STACEY BRIGHAM MOORE is a Behavioral Health, Residential healthcare provider located in BRISTOL, Florida. NPI 1558872341 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · BRISTOL, FL
Registration Details
- NPI Number
- 1558872341
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2017 (8.8529185063573 yrs)
- Last Updated
- Oct 23, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
4321 NW STATE ROAD 270BRISTOL, FL, 323212303Browse FL providers · Browse ZIP 32321
- Phone
- 8505672095
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Behavioral Health, Residential
Other Behavioral Health, Residential Providers in BRISTOL, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. DEIDRA L BESS | — | 1265943286 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.