BRYANNA MOORE LAC
NPI 1316683600
Counselor in Phoenix, AZ

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since May 09, 2022

9014 S CENTRAL AVE, PHOENIX, AZ 85042(602) 230-7373(602) 441-5836 Get Directions Write a Review

NPPES record last updated: May 9, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bryanna Moore Lac NPPES

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

BRYANNA MOORE LAC (NPI 1316683600) is an individual counselor in Phoenix, Arizona, licensed in Arizona (LAC-19221) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1316683600

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameBRYANNA MOORECredential: LAC

Location Address9014 S CENTRAL AVEPhoenix, AZ 85042-8304

Mailing Address3620 N 3rd StPhoenix, AZ 85012-2020 · (602) 329-8250

Phone(602) 230-7373

Fax(602) 441-5836

Sole ProprietorNo

Enumeration DateMay 9, 2022

NPPES CertifiedMay 9, 2022

✔ NPI 1316683600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in AZ · LAC-19221

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

9014 S CENTRAL AVE, Phoenix, AZ 85042

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›