MRS. LISA LEAH MOORE CDP NPI 1265909865

NPI Information

NPI: 1265909865
Provider Name: MRS. LISA LEAH MOORE, CDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2280 SR 821
SELAH, WA
ZIP 98901
Phone: (509) 457-0990
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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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP00000778	WASHINGTON	Yes

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
1	CP00000778	OTHER	WASHINGTON	CDP

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: 5/5/2024

NPI Synchronization or Removal

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