LAURA JEANNE MOORE LAC NPI 1265046510

NPI Information

NPI: 1265046510
Provider Name: LAURA JEANNE MOORE, LAC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
14961 W BELL RD STE A125
SURPRISE, AZ
ZIP 85374
Phone: (623) 202-2521
Get Directions

Laura Jeanne Moore, LAC is a mental health counselor in Surprise, AZ. Laura Jeanne Moore, LAC NPI is 1265046510. 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:

14961 W BELL RD STE A125
SURPRISE, AZ
ZIP 85374-200
Phone: (623) 202-2521
Fax: (623) 213-7570

The enumeration date for this NPI number is 9/3/2020 and was last updated on 9/3/2020.

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	LAC-19222	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: 4/28/2024

NPI Synchronization or Removal

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