KELLY LYNN MOORE LPCA NPI 1083964498

NPI Information

  • NPI: 1083964498
  • Provider Name: KELLY LYNN MOORE, LPCA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 813 S OAKLAND ST STE A
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 868-4132

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NPI Details

Kelly Lynn Moore, LPCA is a mental health counselor in Gastonia, NC. Kelly Lynn Moore, LPCA NPI is 1083964498. 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:

813 S OAKLAND ST STE A
GASTONIA, NC
ZIP 28054-474
Phone: (704) 868-4132

The enumeration date for this NPI number is 9/12/2012 and was last updated on 9/12/2012.

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
1101YM0800XCounselorMental HealthA8816NORTH CAROLINAYes

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: 3/30/2025

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