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DR. BEVERLY SMITH MOORE PHD, LPC, CCMHC
NPI 1659663086
Counselor - Professional in Peachtree City, GA

Active since May 03, 2011
401 WESTPARK CT STE 200, PEACHTREE CITY, GA 30269(678) 523-1715 Get Directions Write a Review

NPPES record last updated: November 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Beverly Smith Moore Phd, Lpc, Ccmhc NPPES

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

DR. BEVERLY SMITH MOORE PHD, LPC, CCMHC (NPI 1659663086) is an individual professional provider in Peachtree City, Georgia, licensed in Georgia (LPC003014) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1659663086
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. BEVERLY SMITH MOORECredential: PHD, LPC, CCMHC
Location Address401 WESTPARK CT STE 200Peachtree City, GA 30269-3572
Mailing Address3135 Duke DrFairburn, GA 30213-8302 · (678) 523-1715
Phone(678) 523-1715
Sole ProprietorYes
Enumeration DateMay 3, 2011
Last NPPES UpdateNovember 30, 2025
NPPES CertifiedNovember 30, 2025
✔ NPI 1659663086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC003014
Also ListedCounselorTaxonomy 101Y00000X · License LPC003014 (GA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License LPC003014 (GA)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC003014 (GA)
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License LPC003014 (GA)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LPC003014 (GA)
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License LPC003014 (GA)
Also ListedHealth and Wellness CoachTaxonomy 171400000X · License LPC003014 (GA)
401 WESTPARK CT STE 200, Peachtree City, GA 30269
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Other Identifiers 1

Medicaid003109153AGA

Other Providers at the Same Location NPPES 10

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

WOVEN PATHS COUNSELING LLC
Community/Behavioral Health
401 WESTPARK CT STE 200
PEACHTREE CITY, GA 30269
Fayette County (470) 724-3941
PEACHTREE SENIOR CARE LLC
In Home Supportive Care
401 WESTPARK CT STE 200
PEACHTREE CITY, GA 30269
Fayette County (770) 833-4364
THE QUALITY IMPROVEMENT TEAM, LLC
Home Health
401 WESTPARK CT STE 200
PEACHTREE CITY, GA 30269
Fayette County (678) 960-5170
FUNDAMENTAL THERAPY GROUP LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
401 WESTPARK CT STE 200
PEACHTREE CITY, GA 30269
Fayette County (470) 473-0579
GENEVIEVE M MORRIS LPC, MATS
Counselor (Professional)
401 WESTPARK CT STE 200
PEACHTREE CITY, GA 30269
Fayette County (678) 492-2980
RHONDA A CROCKETT
Peer Specialist
401 WESTPARK CT STE 200
PEACHTREE CITY, GA 30269
Fayette County (800) 341-0120
DR. KENDY VERPILE M.D.
Obstetrics & Gynecology
401 WESTPARK CT STE 200
PEACHTREE CITY, GA 30269
Fayette County (678) 783-0130
SACRED SOUL WELLNESS & COUNSELING
Social Worker (Clinical)
401 WESTPARK CT STE 200
PEACHTREE CITY, GA 30269
Fayette County (678) 783-0110

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 Beverly Smith Moore's NPI number?

The NPI number for Beverly Smith Moore is 1659663086. It was assigned to this individual provider in the NPPES registry on May 3, 2011.

Where is Beverly Smith Moore located?

Beverly Smith Moore practices at 401 Westpark Ct Ste 200, Peachtree City, GA 30269. The listed phone number is (678) 523-1715.

What is Beverly Smith Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Beverly Smith Moore was last updated on November 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.