DR. POPPY KIMBERLY MOON PH.D., NCC, LPC
NPI 1609965185
Counselor - Professional in Tuscaloosa, AL
Active since October 12, 2006
661 HELEN KELLER BLVD, SUITE A, TUSCALOOSA, AL 35404(205) 554-0866(205) 554-0279 Get Directions Write a Review
About Dr. Poppy Kimberly Moon Ph.d., Ncc, Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. POPPY KIMBERLY MOON PH.D., NCC, LPC (NPI 1609965185) is an individual professional provider in Tuscaloosa, Alabama, licensed in Alabama (LPC #2250) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1609965185
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. POPPY KIMBERLY MOONCredential: PH.D., NCC, LPC
Location Address661 HELEN KELLER BLVD, SUITE ATuscaloosa, AL 35404-2963
Mailing Address661 Helen Keller Blvd, Suite ATuscaloosa, AL 35404-2963 · (205) 554-0866 · Fax (205) 554-0279
Phone(205) 554-0866
Fax(205) 554-0279
Sole ProprietorYes
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609965185 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AL · LPC #2250
661 HELEN KELLER BLVD, Tuscaloosa, AL 35404
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
661 HELEN KELLER BLVD, STE A
TUSCALOUSA, AL 35404
TUSCALOUSA, AL 35404
Psychiatry & Neurology (Psychiatry)
661 HELEN KELLER BLVD, ST A
TUSCALOOSA, AL 35404
TUSCALOOSA, AL 35404
Clinic/Center (Adult Mental Health)
661 HELEN KELLER BLVD, ST A
TUSCALOOSA, AL 35404
TUSCALOOSA, AL 35404
Community/Behavioral Health
661 HELEN KELLER BLVD, SUITE A
TUSCALOOSA, AL 35404
TUSCALOOSA, AL 35404
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609965185, enumerated as an "individual" on October 12, 2006.
The provider is located at 661 HELEN KELLER BLVD SUITE A TUSCALOOSA, AL 35404 and the phone number is (205) 554-0866.
Counselor with taxonomy code 101YP2500X and a focus in Professional.