STEFANIE MOORE LPC
NPI 1285266858
Counselor - Professional in Tyrone, GA

Active since February 11, 2020
100 LLOYD AVE STE E, TYRONE, GA 30290(470) 215-6101 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 10, 2021, May 6, 2020, Feb 11, 2020 (3 updates tracked since 2020).

About Stefanie Moore Lpc NPPES

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

STEFANIE MOORE LPC (NPI 1285266858) is an individual professional provider in Tyrone, Georgia, licensed in Georgia (LPC011376) and active in the NPI registry since February 2020. She maintains a secondary practice location in Newnan.

NPPES Registry Identity

NPI1285266858
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSTEFANIE MOORECredential: LPC
Location Address100 LLOYD AVE STE ETyrone, GA 30290-2157
Mailing Address147 Hunterian PlNewnan, GA 30265-5619 · (770) 328-0490
Sole ProprietorNo
Enumeration DateFebruary 11, 2020
Last NPPES UpdateNovember 10, 20213 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
NPI 1285266858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC011376
100 LLOYD AVE STE E, Tyrone, GA 30290

Secondary Practice Location 1

Location 115 LaGrange St Ste CNewnan, GA 30263-2693 · Phone (770) 328-2731

Other Providers at the Same Location NPPES

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

Massage Therapist
100 LLOYD AVE STE E
TYRONE, GA 30290

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 Stefanie Moore's NPI number?

The NPI number for Stefanie Moore is 1285266858. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Stefanie Moore located?

Stefanie Moore practices at 100 Lloyd Ave Ste E, Tyrone, GA 30290. The listed phone number is (470) 215-6101.

What is Stefanie Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Stefanie Moore was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.