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TANZANIA MALA MOORE
NPI 1447745567
Counselor - Mental Health in Vicksburg, MS

Active since June 30, 2018
3530 MANOR DR STE 5A, VICKSBURG, MS 39180(601) 738-5260(601) 738-5361 Get Directions Write a Review

NPPES record last updated: June 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanzania Mala Moore NPPES

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

TANZANIA MALA MOORE (NPI 1447745567) is an individual mental health provider in Vicksburg, Mississippi and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1447745567
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANZANIA MALA MOORE
Location Address3530 MANOR DR STE 5AVicksburg, MS 39180-5625
Mailing Address234 Baugh StPearl, MS 39208-4103 · (769) 572-5548
Phone(601) 738-5260
Fax(601) 738-5361
Sole ProprietorNo
Enumeration DateJune 30, 2018
✔ NPI 1447745567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3530 MANOR DR STE 5A, Vicksburg, MS 39180
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Other Providers at the Same Location NPPES 5

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

TESSA CROSBY
Counselor
3530 MANOR DR STE 5A
VICKSBURG, MS 39180
Warren County (601) 738-5260
SELINA DRUMMOND
Counselor
3530 MANOR DR STE 5A
VICKSBURG, MS 39180
Warren County (610) 738-5260
BRIAN OLIVER SNOWDEN
Counselor (Addiction (Substance Use Disorder))
3530 MANOR DR STE 5A
VICKSBURG, MS 39180
Warren County (601) 738-5260
KEDREUNNA MCGRIGGS
Social Worker
3530 MANOR DR STE 5A
VICKSBURG, MS 39180
Warren County (601) 738-5260
JAMIA KIANA SANDERS
Counselor
3530 MANOR DR STE 5A
VICKSBURG, MS 39180
Warren County (601) 738-5260

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 Tanzania Moore's NPI number?

The NPI number for Tanzania Moore is 1447745567. It was assigned to this individual provider in the NPPES registry on June 30, 2018.

Where is Tanzania Moore located?

Tanzania Moore practices at 3530 Manor Dr Ste 5A, Vicksburg, MS 39180. The listed phone number is (601) 738-5260.

What is Tanzania Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Tanzania Moore was last updated on June 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.