MRS. LISA LEAH MOORE CDP NPI 1265909865

NPI Information

  • NPI: 1265909865
  • Provider Name: MRS. LISA LEAH MOORE, CDP
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2280 SR 821
    SELAH, WA
    ZIP 98901
  • Phone: (509) 457-0990

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NPI Details

MRS. Lisa Leah Moore, CDP is an addiction (substance use disorder) counselor in Selah, WA. MRS. Lisa Leah Moore, CDP NPI is 1265909865. 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:

2280 SR 821
SELAH, WA
ZIP 98901
Phone: (509) 457-0990
Fax: (509) 454-4548

The enumeration date for this NPI number is 11/1/2018 and was last updated on 11/1/2018.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)CP00000778WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CP00000778OTHERWASHINGTONCDP

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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