MISS VALAIRE LATRISHA MOORE NPI 1124642855

NPI Information

  • NPI: 1124642855
  • Provider Name: MISS VALAIRE LATRISHA MOORE
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 130 CAMELLIA CT
    JACKSON, GA
    ZIP 30233
  • Phone: (770) 570-7830

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NPI Details

MISS Valaire Latrisha Moore is a counselor in Jackson, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MISS Valaire Latrisha Moore NPI is 1124642855. 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:

130 CAMELLIA CT
JACKSON, GA
ZIP 30233-108
Phone: (770) 570-7830

The enumeration date for this NPI number is 5/28/2020 and was last updated on 3/28/2023.

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
1106S00000XBehavior Technician562615GEORGIANo
2101Y00000XCounselorYes

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: 11/21/2025

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