PENNY MOORE LCDC NPI 1891208344

NPI Information

NPI: 1891208344
Provider Name: PENNY MOORE, LCDC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2266 WAKEFIELD MOUND RD
PIKETON, OH
ZIP 45661
Phone: (740) 961-1092
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Penny Moore, LCDC is an addiction (substance use disorder) counselor in Piketon, OH. Penny Moore, LCDC NPI is 1891208344. 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:

2266 WAKEFIELD MOUND RD
PIKETON, OH
ZIP 45661
Phone: (740) 961-1092

The enumeration date for this NPI number is 11/7/2017 and was last updated on 7/17/2019.

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)	131001	OHIO	Yes
2	101YM0800X	Counselor	Mental Health	QMHS	OHIO	No

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: 11/14/2023

NPI Synchronization or Removal

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