National Provider Identifier

Roberta Harris- Moran, L-CSW

Roberta Harris- Moran, L-CSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 834-5114.

NPI 1225112295Buffalo, NYMental Health Counselor

Profile Overview

NPI
1225112295
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
October 25, 2006
Last Updated
May 21, 2018

Practice Location

  • 1837 Hertel Ave
  • Buffalo, NY 14216

Phone: (716) 834-5114

Mailing Address

  • 1837 Hertel Ave
  • Buffalo, NY 14216-3006

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1225112295
Entity Type
Individual
Last Name
Harris- Moran
First Name
Roberta
Name Prefix
MS.
Credential
L-CSW
Provider Other Last Name
Harris- Moran
Provider Other First Name
Barbara
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
L-CSW
Provider Other Last Name Type Code
5
Mailing Street Address
1837 Hertel Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-3006
Mailing Country
US
Mailing Phone
(716) 834-5114
Mailing Fax
(716) 834-1010
Practice Street Address
1837 Hertel Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216
Practice Country
US
Practice Phone
(716) 834-5114
Practice Fax
(716) 834-5116
Enumeration Date
October 25, 2006
Last Updated
May 21, 2018
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)
Other Identifiers
074440564 (NY, United Behavioral Health), 6190173 (NY, Independent Health), 00511001001 (NY, Blue Cross Blue Sheild), 00025069101 (NY, Univerva)