TRACY J MOORE LCAS-A NPI 1558614677

NPI Information

  • NPI: 1558614677
  • Provider Name: TRACY J MOORE, LCAS-A
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 5500 EXECUTIVE CENTER DR
    CHARLOTTE, NC
    ZIP 28212
  • Phone: (704) 537-5760

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NPI Details

Tracy J Moore, LCAS-A is an addiction (substance use disorder) counselor in Charlotte, NC. Tracy J Moore, LCAS-A NPI is 1558614677. 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:

5500 EXECUTIVE CENTER DR
CHARLOTTE, NC
ZIP 28212-856
Phone: (704) 537-5760

The enumeration date for this NPI number is 10/26/2012 and was last updated on 9/28/2016.

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
11041C0700XSocial WorkerClinicalP007403NORTH CAROLINANo
2101YM0800XCounselorMental HealthLCAS-15519NORTH CAROLINANo
3171M00000XCase Manager/Care CoordinatorLCAS-15519NORTH CAROLINANo
4172V00000XCommunity Health WorkerLCAS-15519NORTH CAROLINANo
5101Y00000XCounselorLCAS-15519NORTH CAROLINANo
6101YA0400XCounselorAddiction (Substance Use Disorder)LCAS-15519NORTH 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: 11/21/2025

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