RAEGAN ARIELLE MOORE LCMHCA
NPI 1275310195
Counselor - Mental Health in Raleigh, NC
Active since September 13, 2023
About Raegan Arielle Moore Lcmhca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAEGAN ARIELLE MOORE LCMHCA (NPI 1275310195) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (A19092) and active in the NPI registry since September 2023.
NPPES Registry Identity
NPI1275310195
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRAEGAN ARIELLE MOORECredential: LCMHCA
Location Address182 WIND CHIME CT STE 104Raleigh, NC 27615-6511
Mailing Address504 E Pettigrew St Apt 538Durham, NC 27701-3893 · (814) 449-2171
Phone(814) 449-2171
Sole ProprietorYes
Enumeration DateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1275310195 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 NC · A19092
182 WIND CHIME CT STE 104, Raleigh, NC 27615
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Mental Health (Including Community Mental Health Center))
182 WIND CHIME CT STE 104
RALEIGH, NC 27615
RALEIGH, NC 27615
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275310195, enumerated as an "individual" on September 13, 2023.
The provider is located at 182 WIND CHIME CT STE 104 RALEIGH, NC 27615 and the phone number is (814) 449-2171.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
