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STEPHANIE MOORE L.M.P.
NPI 1548481682
Specialist in Kennesaw, GA

Active since May 02, 2007
5150 STILESBORO RD NW STE 430, KENNESAW, GA 30152(470) 746-4690 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Moore L.m.p. NPPES

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

STEPHANIE MOORE L.M.P. (NPI 1548481682) is an individual specialist in Kennesaw, Georgia, licensed in Georgia (010605) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1548481682
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSTEPHANIE MOORECredential: L.M.P.
Location Address5150 STILESBORO RD NW STE 430Kennesaw, GA 30152-7759
Mailing Address1615 Cobb Pkwy N Apt 6204Marietta, GA 30062-9205 · (206) 930-4200 · Fax (206) 760-0266
Phone(470) 746-4690
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateOctober 21, 2024
NPPES CertifiedOctober 21, 2024
✔ NPI 1548481682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 010605
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5150 STILESBORO RD NW STE 430, Kennesaw, GA 30152
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

KATHRYN KEEL OTR/L
Occupational Therapist
5150 STILESBORO RD NW STE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
UPLIFT PSYCHIATRY
Psychiatry & Neurology (Psychiatry)
5150 STILESBORO RD NW STE 430
KENNESAW, GA 30152
Cobb County (470) 231-8137
MRS. RAGENA RENEE MCDONALD OTR/L
Occupational Therapist
5150 STILESBORO RD NW STE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
LINDSEY ISLEY
Speech-Language Pathologist
5150 STILESBORO RD NW STE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
JENNIFER BONER
Occupational Therapist
5150 STILESBORO RD NW STE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
CARRIN HARRISON LPC, NCC
Counselor (Professional)
5150 STILESBORO RD NW STE 430
KENNESAW, GA 30152
Cobb County (770) 853-8686

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 Stephanie Moore's NPI number?

The NPI number for Stephanie Moore is 1548481682. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Stephanie Moore located?

Stephanie Moore practices at 5150 Stilesboro Rd NW Ste 430, Kennesaw, GA 30152. The listed phone number is (470) 746-4690.

What is Stephanie Moore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Stephanie Moore was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.