Renna Moore
Counselor - Professional • Berea, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Renna Moore has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Renna Moore was a registered Counselor - Professional practicing in Berea, OH. Throughout an active medical career spanning 9 years, Renna Moore provided care at the practice location at 202 E BAGLEY RD until profile deactivation on 2021-06-17.
Practice Location & Contact Primary Location
202 E Bagley Rd
Berea, OH 440172058
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Berea, OH
Practicing in Berea, OH (6923 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor
Social Worker - Clinical
LISWS
Counselor - Professional
Counselor - Professional
Counselor - Professional
Counselor - Professional
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 17, 2021
NPI status registered as active in NPPES database
Registered at 202 E BAGLEY RD, BEREA, OH 440172058 (Tel: 8002342006)
Registered at 202 E BAGLEY RD, BEREA, OH 440172058 (Tel: 8002342006)
Recorded as RENNA MOORE
Counselor (License #S0021115 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
202 E Bagley Rd
Berea, OH 440172058
Phone: 8002342006
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