LISA J MOORE LLC
NPI 1093561987
Counselor - Mental Health in Orange Park, FL

Q: What is Lisa J Moore LLC's NPI number?

The NPI number for Lisa J Moore LLC is 1093561987. It was assigned to this organization in the NPPES registry on April 30, 2024.

Q: What is Lisa J Moore LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Lisa J Moore LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 30, 2024

1409 KINGSLEY AVE STE 9D, ORANGE PARK, FL 32073(904) 571-8701(904) 571-8701 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa J Moore Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA J MOORE LLC (NPI 1093561987) is a healthcare organization registered as a mental health in Orange Park, Florida and active in the NPI registry since April 2024. The organization lists Elisabeth J Tudor, Owner, as its authorized official.

NPPES Registry Identity

NPI1093561987

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameLISA J MOORE LLC

Location Address1409 KINGSLEY AVE STE 9DOrange Park, FL 32073-4580

Mailing Address1409 Kingsley Ave Ste 9dOrange Park, FL 32073-4580 · (904) 571-8701 · Fax (904) 571-8701

Phone(904) 571-8701

Fax(904) 571-8701

Organization SubpartNo

Authorized OfficialElisabeth J TudorOwner · (904) 269-2931

Enumeration DateApril 30, 2024

NPPES CertifiedApril 30, 2024

✔ NPI 1093561987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1409 KINGSLEY AVE STE 9D, Orange Park, FL 32073

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ELISABETH J TUDOR LMHC

Counselor (Mental Health)

1409 KINGSLEY AVE STE 9D
ORANGE PARK, FL 32073

Clay County (904) 269-2931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa J Moore LLC's NPI number?

The NPI number for Lisa J Moore LLC is 1093561987. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Lisa J Moore LLC located?

Lisa J Moore LLC is located at 1409 Kingsley Ave Ste 9D, Orange Park, FL 32073. The listed phone number is (904) 571-8701.

What is Lisa J Moore LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa J Moore LLC was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.