AUDREY ELAINE MOORE LAC
NPI 1558043687
Counselor - Mental Health in Prescott, AZ

Q: What is Audrey Moore's NPI number?

The NPI number for Audrey Moore is 1558043687. It was assigned to this individual provider in the NPPES registry on August 7, 2023. The provider is also known as Audrey Stewart.

Q: What is Audrey Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Audrey Moore was last updated on October 16, 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.

Active since August 07, 2023

702 W HILLSIDE AVE, PRESCOTT, AZ 86301(855) 746-3633 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Audrey Elaine Moore Lac NPPES

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

AUDREY ELAINE MOORE LAC (NPI 1558043687) is an individual mental health provider in Prescott, Arizona, licensed in Arizona (22964) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1558043687

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameAUDREY ELAINE MOORECredential: LAC

Location Address702 W HILLSIDE AVEPrescott, AZ 86301-1913

Mailing Address5700 Market St Apt 2086Prescott Valley, AZ 86314-6517 · (208) 505-8933

Phone(855) 746-3633

Sole ProprietorNo

Enumeration DateAugust 7, 2023

Last NPPES UpdateOctober 16, 2024

NPPES CertifiedOctober 16, 2024

✔ NPI 1558043687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AZ · 22964

702 W HILLSIDE AVE, Prescott, AZ 86301

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Other Names 1

Former Name (1)Audrey Stewart

Other Providers at the Same Location NPPES 3

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

MR. WILLIAM JAMES BILBRAY MS, LISAC

Counselor (Addiction (Substance Use Disorder))

702 W HILLSIDE AVE
PRESCOTT, AZ 86301

Yavapai County (928) 710-9229

MR. TIMOTHY PATRICK SANDERSON MS, LASAC

Counselor (Addiction (Substance Use Disorder))

702 W HILLSIDE AVE
PRESCOTT, AZ 86301

Yavapai County (928) 778-5907

MISS ANDREA NICHOLSON LMSW

Counselor

702 W HILLSIDE AVE
PRESCOTT, AZ 86301

Yavapai County (928) 778-9207

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 Audrey Moore's NPI number?

The NPI number for Audrey Moore is 1558043687. It was assigned to this individual provider in the NPPES registry on August 7, 2023. The provider is also known as Audrey Stewart.

Where is Audrey Moore located?

Audrey Moore practices at 702 W Hillside Ave, Prescott, AZ 86301. The listed phone number is (855) 746-3633.

What is Audrey 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 Audrey Moore was last updated on October 16, 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.