EXPERIENCING MOORE PC NPI 1740666122

NPI Information

  • NPI: 1740666122
  • Provider Name: EXPERIENCING MOORE, PC
  • Classification: Marriage & Family Therapist - 106H00000X
  • Entity Type: Organization
  • Address: 1414 SOUTH OAK AVE
    SUITE 6
    OWATONNA, MN
    ZIP 55060
  • Phone: (507) 676-6834

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NPI Details

EXPERIENCING MOORE, PC is a marriage family therapist in Owatonna, MN. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. EXPERIENCING MOORE, PC NPI is 1740666122. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1414 SOUTH OAK AVE
SUITE 6
OWATONNA, MN
ZIP 55060-957
Phone: (507) 676-6834
Fax: (507) 413-8088

The provider's authorized official is Margaret P Moore .
The authorized official title is President and has the following contact phone number (507) 676-6834.

The enumeration date for this NPI number is 8/7/2015 and was last updated on 9/10/2021.

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
1106H00000XMarriage & Family Therapist1675MINNESOTAYes

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
14628710MEDICAIDMINNESOTA

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: 3/30/2025

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