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DEEANNA DEAN MOORE
NPI 1689553067
Counselor - Mental Health in Lakeland, FL

Active since August 29, 2025
1010 E ROSE ST, LAKELAND, FL 33801(863) 519-3900 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deeanna Dean Moore NPPES

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

DEEANNA DEAN MOORE (NPI 1689553067) is an individual mental health provider in Lakeland, Florida and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1689553067
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEEANNA DEAN MOORE
Location Address1010 E ROSE STLakeland, FL 33801-2016
Mailing Address2320 15th Ave WBradenton, FL 34205-3902 · (325) 245-3557
Phone(863) 519-3900
Sole ProprietorYes
Enumeration DateAugust 29, 2025
Last NPPES UpdateSeptember 5, 2025
NPPES CertifiedSeptember 5, 2025
✔ NPI 1689553067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1010 E ROSE ST, Lakeland, FL 33801
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

IDALIS MONTERO
Social Worker (Clinical)
1010 E ROSE ST
LAKELAND, FL 33801
Polk County (863) 413-3126
MS. COLLEEN ELIZABETH SMITH MSW
Social Worker
1010 E ROSE ST, ATTN COLLEEN SMITH
LAKELAND, FL 33801
Polk County (863) 413-2136
MR. KEVIN PAUL GRINNELL
Case Manager/Care Coordinator
1010 E ROSE ST
LAKELAND, FL 33801
Polk County (863) 519-3900
CHILDREN'S HOME SOCIETY OF FLORIDA
Case Management
1010 E ROSE ST
LAKELAND, FL 33801
Polk County (863) 413-3126
KIMBERLY FAVARO
Counselor (Mental Health)
1010 E ROSE ST
LAKELAND, FL 33801
Polk County (863) 640-3779
ANTONIO MONROE JAMES
Counselor
1010 E ROSE ST
LAKELAND, FL 33801
Polk County (863) 413-3126
MASON ANDREAS BRYAN
Counselor (Mental Health)
1010 E ROSE ST
LAKELAND, FL 33801
Polk County (863) 413-3126
VALENCIA LOUIS-CHARLES
Social Worker (Clinical)
1010 E ROSE ST
LAKELAND, FL 33801
Polk County (863) 413-3126

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 Deeanna Moore's NPI number?

The NPI number for Deeanna Moore is 1689553067. It was assigned to this individual provider in the NPPES registry on August 29, 2025.

Where is Deeanna Moore located?

Deeanna Moore practices at 1010 E Rose St, Lakeland, FL 33801. The listed phone number is (863) 519-3900.

What is Deeanna 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 Deeanna Moore was last updated on September 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.