KELLY LYNN MOORE LPCA
NPI 1083964498
Counselor - Mental Health in Gastonia, NC
Active since September 12, 2012
About Kelly Lynn Moore Lpca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY LYNN MOORE LPCA (NPI 1083964498) is an individual mental health provider in Gastonia, North Carolina, licensed in North Carolina (A8816) and active in the NPI registry since September 2012.
NPPES Registry Identity
NPI1083964498
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY LYNN MOORECredential: LPCA
Location Address813 S OAKLAND ST STE AGastonia, NC 28054-0474
Mailing Address1825 Nassau BlvdCharlotte, NC 28205-3025 · (704) 451-4332
Phone(704) 868-4132
Sole ProprietorYes
Enumeration DateSeptember 12, 2012
✔ NPI 1083964498 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · A8816
813 S OAKLAND ST STE A, Gastonia, NC 28054
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Community/Behavioral Health
813 S OAKLAND ST STE A
GASTONIA, NC 28054
GASTONIA, NC 28054
Community/Behavioral Health
813 S OAKLAND ST STE A
GASTONIA, NC 28054
GASTONIA, NC 28054
Community/Behavioral Health
813 S OAKLAND ST STE A
GASTONIA, NC 28054
GASTONIA, NC 28054
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083964498, enumerated as an "individual" on September 12, 2012.
The provider is located at 813 S OAKLAND ST STE A GASTONIA, NC 28054 and the phone number is (704) 868-4132.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
