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MARQUEST CHANNELL CARTER MOORE
NPI 1104780717
Counselor - Addiction (Substance Use Disorder) in Concord, NC

Active since December 10, 2025
284 EXECUTIVE PARK DR, CONCORD, NC 28025(704) 939-1100(704) 939-1173 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marquest Channell Carter Moore NPPES

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

MARQUEST CHANNELL CARTER MOORE (NPI 1104780717) is an individual addiction (substance use disorder) provider in Concord, North Carolina, licensed in North Carolina (LCAS-31325) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1104780717
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARQUEST CHANNELL CARTER MOORE
Location Address284 EXECUTIVE PARK DRConcord, NC 28025-1831
Mailing Address284 Executive Park DrConcord, NC 28025-1831 · (704) 939-1100 · Fax (704) 939-1173
Phone(704) 939-1100
Fax(704) 939-1173
Sole ProprietorNo
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1104780717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · LCAS-31325
284 EXECUTIVE PARK DR, Concord, NC 28025
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Other Providers at the Same Location NPPES 20

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

KATIE EVETT HUNEYCUTT MSW, LCSWA
Social Worker (Clinical)
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
BRIDGETTE JEANNINE ANDERSON
Counselor
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
HEATHER TAVELLA LPC, LCAS, CS-I, NCC
Counselor (Professional)
284 EXECUTIVE PARK DR
CONCORD, NC 28025
Cabarrus County (704) 939-1000
STEWART C. MCANALLY LCSW
Social Worker (Clinical)
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
MARGARET A HAIRSTON RN, BSN
Registered Nurse
284 EXECUTIVE PARK DR
CONCORD, NC 28025
Cabarrus County (704) 939-1118
ANISSA LACKEY LPN
Licensed Practical Nurse
284 EXECUTIVE PARK DR, STE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1100
JESSICA LYNN REDISH M.S./ED.S.
Counselor
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 986-2117
MRS. JESSICA MORRISON DILL LCAS, LPC, CCSI
Counselor (Addiction (Substance Use Disorder))
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Cabarrus County (704) 939-1118

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 Marquest Moore's NPI number?

The NPI number for Marquest Moore is 1104780717. It was assigned to this individual provider in the NPPES registry on December 10, 2025.

Where is Marquest Moore located?

Marquest Moore practices at 284 Executive Park Dr, Concord, NC 28025. The listed phone number is (704) 939-1100.

What is Marquest Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marquest Moore was last updated on December 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.