CHRISTARDRA MOORE LPC NPI 1942269394

NPI Information

  • NPI: 1942269394
  • Provider Name: CHRISTARDRA MOORE, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4800 S GRAND ST
    MONROE, LA
    ZIP 71202
  • Phone: (318) 362-3339

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NPI Details

Christardra Moore, LPC is a professional counselor in Monroe, LA with 24 years of experience. Christardra Moore, LPC NPI is 1942269394. 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:

4800 S GRAND ST
MONROE, LA
ZIP 71202-412
Phone: (318) 362-3339
Fax: (318) 362-3336

The NPI 1942269394 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 8/30/2022.

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
1101YM0800XCounselorMental HealthA0305049ARKANSASNo
2101YP2500XCounselorProfessionalP0704014ARKANSASNo
3101YP2500XCounselorProfessional4636LOUISIANAYes

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
13758342MEDICAIDLOUISIANA

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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