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JEREMY MOORE CMHT
NPI 1588249502
Counselor - Mental Health in Hattiesburg, MS

Active since March 11, 2021
110 PATTON AVE, HATTIESBURG, MS 39401(601) 582-1111 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jeremy Moore Cmht NPPES

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

JEREMY MOORE CMHT (NPI 1588249502) is an individual mental health provider in Hattiesburg, Mississippi, licensed in Mississippi (4644) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1588249502
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY MOORECredential: CMHT
Location Address110 PATTON AVEHattiesburg, MS 39401-6155
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952
Phone(601) 582-1111
Sole ProprietorNo
Enumeration DateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1588249502 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 MS · 4644
110 PATTON AVE, Hattiesburg, MS 39401
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Other Providers at the Same Location NPPES 20

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

NAZMUL TALUKDAR M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
SHAN'TERRICA D BARNES LMFT
Marriage & Family Therapist
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
JAMIE STEELE LPC
Counselor
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
REGAN DEAL LMFTA
Marriage & Family Therapist
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
WILLIAM TAYLOR LPC
Counselor
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
TORRANCE WADE LPC, NCC
Counselor
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
SOPHIA BADON CCSS
Counselor
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111
KERTRINA BEVERLY CCSS
Counselor
110 PATTON AVE
HATTIESBURG, MS 39401
Forrest County (601) 582-1111

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 Jeremy Moore's NPI number?

The NPI number for Jeremy Moore is 1588249502. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Where is Jeremy Moore located?

Jeremy Moore practices at 110 Patton Ave, Hattiesburg, MS 39401. The listed phone number is (601) 582-1111.

What is Jeremy 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 Jeremy Moore was last updated on March 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.