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MS. THEOLA MOORE MS, MHC
NPI 1508629254
Counselor - Mental Health in Fort Lauderdale, FL

Active since February 05, 2024
2700 NW 62ND ST, FORT LAUDERDALE, FL 33309(754) 900-0503(754) 289-4250 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Theola Moore Ms, Mhc NPPES

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

MS. THEOLA MOORE MS, MHC (NPI 1508629254) is an individual mental health provider in Fort Lauderdale, Florida and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1508629254
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. THEOLA MOORECredential: MS, MHC
Location Address2700 NW 62ND STFort Lauderdale, FL 33309-1744
Mailing Address2700 Nw 62nd St Ste B100Fort Lauderdale, FL 33309-1718 · (754) 900-0503 · Fax (754) 289-4250
Phone(754) 900-0503
Fax(754) 289-4250
Sole ProprietorYes
Enumeration DateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
✔ NPI 1508629254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2700 NW 62ND ST, Fort Lauderdale, FL 33309
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Other Providers at the Same Location NPPES 4

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

DR. MARCIA E JOHNSON PHD, LCSW-C
Social Worker (Clinical)
2700 NW 62ND ST
FORT LAUDERDALE, FL 33309
Broward County (703) 981-1078
ANDREW SINANAN
Counselor (Mental Health)
2700 NW 62ND ST
FT LAUDERDALE, FL 33309
Broward County (754) 204-0659
CYNTHIA N CONSEILLANT LCSW
Social Worker (Clinical)
2700 NW 62ND ST
FORT LAUDERDALE, FL 33309
Broward County (754) 243-5641
JENNAHVIE PRIETO
Behavior Technician
2700 NW 62ND ST
FORT LAUDERDALE, FL 33309
Broward County (954) 909-5953

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 Theola Moore's NPI number?

The NPI number for Theola Moore is 1508629254. It was assigned to this individual provider in the NPPES registry on February 5, 2024.

Where is Theola Moore located?

Theola Moore practices at 2700 NW 62nd St, Fort Lauderdale, FL 33309. The listed phone number is (754) 900-0503.

What is Theola 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 Theola Moore was last updated on February 5, 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.