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BREANNA MOORE MS
NPI 1215658869
Counselor - Mental Health in Jacksonville, FL

Active since September 12, 2022
4595 LEXINGTON AVE, JACKSONVILLE, FL 32210(904) 859-6852 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 11, 2024, Sep 12, 2022 (2 updates tracked since 2022).

About Breanna Moore Ms NPPES

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

BREANNA MOORE MS (NPI 1215658869) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (IMH23313) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1215658869
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameBREANNA MOORECredential: MS
Location Address4595 LEXINGTON AVEJacksonville, FL 32210-2058
Mailing Address4595 Lexington AveJacksonville, FL 32210-2058 · (904) 859-6852
Phone(904) 859-6852
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1215658869 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 FL · IMH23313
4595 LEXINGTON AVE, Jacksonville, FL 32210
Open in Google Maps ↗

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.

SERGIO PEREZ
Counselor (Mental Health)
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
TERRICA STENNIS
Case Manager/Care Coordinator
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
MRS. RACHEL H COLAVITO MS, LMFT
Marriage & Family Therapist
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 783-2579
HOPE REBEKAH DOLANSKY I MSW
Social Worker (Clinical)
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 776-8897
HARRISON DOMESHEK
Social Worker (Clinical)
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
CHILD GUIDANCE CENTER, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
REGINA P MARTIN
Counselor (Mental Health)
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700
BRIONE ALLEN
Counselor (Mental Health)
4595 LEXINGTON AVE
JACKSONVILLE, FL 32210
Duval County (904) 448-4700

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 Breanna Moore's NPI number?

The NPI number for Breanna Moore is 1215658869. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Breanna Moore located?

Breanna Moore practices at 4595 Lexington Ave, Jacksonville, FL 32210. The listed phone number is (904) 859-6852.

What is Breanna Moore'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 Breanna Moore was last updated on June 11, 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.