Audrea Maurine Moore in Lutz - Mental Health
Audrea Maurine Moore - NPI 1124161153
Audrea Maurine Moore is a Mental Health in Lutz, Florida. Audrea Maurine Moore practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Audrea Maurine Moore is 1124161153. The last update date is 2023-10-19.
Audrea Maurine Moore's current location address is 1506 Cannonade Ct, Lutz, Florida. You can contact this provider via phone number 8137149792. The mailing address for Audrea Maurine Moore is 1506 Cannonade Ct, Lutz, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audrea Maurine Moore |
|---|---|
| Address | 1506 Cannonade Ct, Lutz, Florida |
| Phone Number | 8137149792 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LMHC |
NPI Number Detail
| NPI Number | 1124161153 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2023-10-19 |
Provider Mailing Address Detail
| Address | 1506 Cannonade Ct |
|---|---|
| City | Lutz |
| State | Florida (FL) |
| Post Code | 335495822 |
| Phone Number | 8137149792 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 765872900 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Audrea Maurine Moore?
The Audrea Maurine Moore has been issued the NPI (National Provider Identifier) 1124161153 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Audrea Maurine Moore's facilities are situated?
The facilities of Audrea Maurine Moore are physically located at the following address: 1506 Cannonade Ct, Lutz, FL, 335495822.
What is the area of specialization for Audrea Maurine Moore, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Audrea Maurine Moore is Mental Health, and the corresponding taxonomy code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124161153 to Audrea Maurine Moore?
The Centers for Medicare & Medicaid Services assigned the 1124161153 to Audrea Maurine Moore on 2007-02-15.
When was the Audrea Maurine Moore's information last updated?
The Audrea Maurine Moore's information was last updated on 2023-10-19.