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ANTWON DEMETRIUS MOORE
NPI 1417212333
Counselor - Professional in Oklahoma City, OK

Active since July 06, 2012
500 N MERIDIAN AVE, OKLAHOMA CITY, OK 73107(405) 601-1716 Get Directions Write a Review

NPPES record last updated: July 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Antwon Demetrius Moore NPPES

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

ANTWON DEMETRIUS MOORE (NPI 1417212333) is an individual professional provider in Oklahoma City, Oklahoma, licensed in Oklahoma (J082366771) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1417212333
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameANTWON DEMETRIUS MOORE
Location Address500 N MERIDIAN AVEOklahoma City, OK 73107-5700
Mailing Address811 N Oak StPonca City, OK 74601-3216 · (580) 491-0699
Phone(405) 601-1716
Sole ProprietorNo
Enumeration DateJuly 6, 2012
✔ NPI 1417212333 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 OK · J082366771
500 N MERIDIAN AVE, Oklahoma City, OK 73107
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Other Names 1

Other Name (5)Antwon Demetrius Burks

Other Providers at the Same Location NPPES 11

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

MRS. BRANDY NICHOLLE SARGENT
Counselor (Mental Health)
500 N MERIDIAN AVE, #304
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 601-7367
MRS. ANGELA DIANE WALKER
Behavior Analyst
500 N MERIDIAN AVE, SUITE 304
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 601-7367
DANIELLE DAUGHTY M.ED, BHRS
Counselor (Professional)
500 N MERIDIAN AVE, SUITE 408
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 601-1716
MISS NIEACHIA LASHAY WHERRY BACHELOR OF SCIENCE
Student in an Organized Health Care Education/Training Program
500 N MERIDIAN AVE, 408
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 601-1716
MISS LUCILA LAZOS
Counselor
500 N MERIDIAN AVE, SUITE 408
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 601-1716
GLENNA LEE BECKNELL LCSW
Social Worker (Clinical)
500 N MERIDIAN AVE, SUITE 304
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 601-7367
MR. LOUIS ROSS III
Counselor (Professional)
500 N MERIDIAN AVE, SUITE 408
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 601-1716
FOGAM HOME HEALTH, LLC
Home Health
500 N MERIDIAN AVE, SUITE 108-A
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 942-0296

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 Antwon Moore's NPI number?

The NPI number for Antwon Moore is 1417212333. It was assigned to this individual provider in the NPPES registry on July 6, 2012. The provider is also known as Antwon Demetrius Burks.

Where is Antwon Moore located?

Antwon Moore practices at 500 N Meridian Ave, Oklahoma City, OK 73107. The listed phone number is (405) 601-1716.

What is Antwon 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 Antwon Moore was last updated on July 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.