MS. MELLAKNESE MOORE CPC-I, MS,ICADC, BSB
NPI 1215562806
Counselor - Professional in Las Vegas, NV

Active since March 04, 2020
3785 E SUNSET RD, LAS VEGAS, NV 89120(702) 482-9620 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 29, 2023, Nov 3, 2022, Mar 4, 2020 (3 updates tracked since 2020).

  • Individual
  • Female
  • Counselor
  • Professional

About MELLAKNESE MOORE

This page provides the complete NPI Profile along with additional information for Mellaknese Moore, a provider established in Las Vegas, Nevada with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1215562806 assigned on March 2020. The practitioner's primary taxonomy code is 101YP2500X with license number C15180 (NV). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1215562806 Verify this NPI
Provider Name
MS. MELLAKNESE MOORE CPC-I, MS,ICADC, BSB
Gender
Female
Entity Type
Individual
Location Address
3785 E SUNSET RD LAS VEGAS, NV 89120
Location Phone
(702) 482-9620
Mailing Address
9918 SHADOW GROVE AVE LAS VEGAS, NV 89148
Mailing Phone
(702) 935-0025
Mailing Fax
(702) 935-0008
Is Sole Proprietor?
No
Enumeration Date
03-04-2020
Last Update Date
02-12-2024
Code Navigator

Location Map

Secondary Locations

  • 2780 S Jones Blvd Ste 100A
    Las Vegas, NV 89146
    (702) 820-3061
  • 2920 N Green Valley Pkwy Ste 312
    Henderson, NV 89014
    (702) 935-0025

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
C15180
License State
NV

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

1501 (AR)

Reviews for MS. MELLAKNESE MOORE CPC-I, MS,ICADC, BSB

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Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Chiropractor
3785 E SUNSET RD, SUITE 10
LAS VEGAS, NV 89120
Residential Treatment Facility, Emotionally Disturbed Children
3785 E SUNSET RD, STE. A - 10
LAS VEGAS, NV 89120
Behavior Analyst
3785 E SUNSET RD, SUITE A-10
LAS VEGAS, NV 89120
Behavior Analyst
3785 E SUNSET RD, SUITE # A-10
LAS VEGAS, NV 89120
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Rehabilitation Practitioner
3785 E SUNSET RD
LAS VEGAS, NV 89120
Behavior Analyst
3785 E SUNSET RD
LAS VEGAS, NV 89120
Behavior Analyst
3785 E SUNSET RD
LAS VEGAS, NV 89120
Behavior Analyst
3785 E SUNSET RD
LAS VEGAS, NV 89120
Behavior Analyst
3785 E SUNSET RD
LAS VEGAS, NV 89120
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Peer Specialist
3785 E SUNSET RD
LAS VEGAS, NV 89120
Counselor (Addiction (Substance Use Disorder))
3785 E SUNSET RD
LAS VEGAS, NV 89120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215562806, enumerated as an "individual" on March 04, 2020.

The provider is located at 3785 E SUNSET RD LAS VEGAS, NV 89120 and the phone number is (702) 482-9620.

Counselor with taxonomy code 101YP2500X and a focus in Professional.