CHARISSE ALEXANDRIA MOORE LMSW NPI 1073242145

NPI Information

NPI: 1073242145
Provider Name: CHARISSE ALEXANDRIA MOORE, LMSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1095 E INDIAN SCHOOL RD STE 700
PHOENIX, AZ
ZIP 85014
Phone: (623) 225-7591
Get Directions

Charisse Alexandria Moore, LMSW is a mental health counselor in Phoenix, AZ. Charisse Alexandria Moore, LMSW NPI is 1073242145. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1095 E INDIAN SCHOOL RD STE 700
PHOENIX, AZ
ZIP 85014-846
Phone: (623) 225-7591

The enumeration date for this NPI number is 6/6/2022 and was last updated on 6/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LMSW-18317	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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