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TINA MICHELE MOORE
NPI 1124807953
Peer Specialist in Ypsilanti, MI

Active since September 21, 2023
8775 SPINNAKER WAY APT A1, YPSILANTI, MI 48197(734) 329-3590 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Michele Moore NPPES

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

TINA MICHELE MOORE (NPI 1124807953) is an individual peer specialist in Ypsilanti, Michigan and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1124807953
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTINA MICHELE MOORE
Location Address8775 SPINNAKER WAY APT A1Ypsilanti, MI 48197-7156
Mailing Address8775 Spinnaker Way Apt A1Ypsilanti, MI 48197-7156 · (734) 329-3590
Phone(734) 329-3590
Sole ProprietorYes
Enumeration DateSeptember 21, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1124807953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
8775 SPINNAKER WAY APT A1, Ypsilanti, MI 48197
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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

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 Tina Moore's NPI number?

The NPI number for Tina Moore is 1124807953. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Tina Moore located?

Tina Moore practices at 8775 Spinnaker Way Apt A1, Ypsilanti, MI 48197. The listed phone number is (734) 329-3590.

What is Tina Moore's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tina Moore was last updated on September 21, 2023. 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.