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TANISHA PENN MOORE LADC
NPI 1295018034
Counselor - Addiction (Substance Use Disorder) in Sand Springs, OK

Active since September 27, 2011
2727 S 137TH WEST AVE, SAND SPRINGS, OK 74063(918) 245-0231(918) 241-5031 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tanisha Penn Moore Ladc NPPES

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

TANISHA PENN MOORE LADC (NPI 1295018034) is an individual addiction (substance use disorder) provider in Sand Springs, Oklahoma, licensed in Oklahoma (917) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1295018034
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTANISHA PENN MOORECredential: LADC
Location Address2727 S 137TH WEST AVESand Springs, OK 74063-5017
Mailing Address11106 N 133rd East AveOwasso, OK 74055-5639 · (918) 527-3014 · Fax (918) 241-5031
Phone(918) 245-0231
Fax(918) 241-5031
Sole ProprietorNo
Enumeration DateSeptember 27, 2011
Last NPPES UpdateAugust 15, 2024
NPPES CertifiedAugust 15, 2024
✔ NPI 1295018034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OK · 917
2727 S 137TH WEST AVE, Sand Springs, OK 74063
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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.

MARKELL JOHNATHON CARTER
Case Manager/Care Coordinator
2727 S 137TH WEST AVE
SAND SPRINGS, OK 74063
Tulsa County (918) 245-0231
MICHAEL DOUGLAS DENSMAN
Counselor
2727 S 137TH WEST AVE
SAND SPRINGS, OK 74063
Tulsa County (918) 245-0231
BRITTANI NICOLE HILL
Case Manager/Care Coordinator
2727 S 137TH WEST AVE
SAND SPRINGS, OK 74063
Tulsa County (918) 245-0231
TAYLOR NICOLE NEUSS
Case Manager/Care Coordinator
2727 S 137TH WEST AVE
SAND SPRINGS, OK 74063
Tulsa County (918) 245-0231
VAN ALLEN HAVENSTRITE
Case Manager/Care Coordinator
2727 S 137TH WEST AVE
SAND SPRINGS, OK 74063
Tulsa County (918) 245-0231
HANNAH FINNEY
Case Manager/Care Coordinator
2727 S 137TH WEST AVE
SAND SPRINGS, OK 74063
Tulsa County (918) 856-4007
DANIEL JUDSON PHILSON
Case Manager/Care Coordinator
2727 S 137TH WEST AVE
SAND SPRINGS, OK 74063
Tulsa County (918) 245-0231
ASHLIE SIMPSON
Counselor (Mental Health)
2727 S 137TH WEST AVE
SAND SPRINGS, OK 74063
Tulsa County (918) 245-0231

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 Tanisha Penn Moore's NPI number?

The NPI number for Tanisha Penn Moore is 1295018034. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Tanisha Penn Moore located?

Tanisha Penn Moore practices at 2727 S 137th West Ave, Sand Springs, OK 74063. The listed phone number is (918) 245-0231.

What is Tanisha Penn Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Tanisha Penn Moore was last updated on August 15, 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.