MS. TANEISHA CHERRELLE MOSS MS LPC NCC NPI 1619566767

NPI Information

  • NPI: 1619566767
  • Provider Name: MS. TANEISHA CHERRELLE MOSS, MS, LPC, NCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 6764 BLANTYRE BLVD
    STONE MOUNTAIN, GA
    ZIP 30087
  • Phone: (770) 712-8907

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NPI Details

MS. Taneisha Cherrelle Moss, MS, LPC, NCC is a professional counselor in Stone Mountain, GA. MS. Taneisha Cherrelle Moss, MS, LPC, NCC NPI is 1619566767. 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:

6764 BLANTYRE BLVD
STONE MOUNTAIN, GA
ZIP 30087-482
Phone: (770) 712-8907

The enumeration date for this NPI number is 1/13/2021 and was last updated on 9/13/2021.

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
1101YP2500XCounselorProfessional012145GEORGIAYes

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

NPI Synchronization or Removal

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