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MARTIN MOORE JR.
NPI 1720745813
Counselor - Mental Health in Hattiesburg, MS

Active since November 23, 2021
103 S 19TH AVE, HATTIESBURG, MS 39401(601) 544-4641(604) 582-1607 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martin Moore Jr. NPPES

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

MARTIN MOORE JR. (NPI 1720745813) is an individual mental health provider in Hattiesburg, Mississippi, licensed in Mississippi (M9920) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1720745813
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMARTIN MOORE JR.
Location Address103 S 19TH AVEHattiesburg, MS 39401-6171
Mailing AddressPo Box 18679Hattiesburg, MS 39404-8679 · (601) 705-1901 · Fax (601) 705-1952
Phone(601) 544-4641
Fax(604) 582-1607
Sole ProprietorNo
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
✔ NPI 1720745813 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 · M9920
103 S 19TH 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.

DR. RAYMOND L STRUCK M.D.
Psychiatry & Neurology (Psychiatry)
103 S 19TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 544-4641
LATOYA JACKSON CSS
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 544-4641
NANCY MOFFETT PCMHT
Counselor (Mental Health)
103 S 19TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 544-4641
PATSY PERRYMAN PCCSS
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 544-4641
ERNEST BODIE PCCSS
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Forrest County (604) 544-4641
JESSICA OWENS CCSS
Counselor
103 S 19TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 544-4641
BETHANY BARNES
Counselor (Mental Health)
103 S 19TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 544-4641
MRS. FRENSHA R SPEARS PCMHT
Counselor (Mental Health)
103 S 19TH AVE
HATTIESBURG, MS 39401
Forrest County (601) 792-4872

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 Martin Moore's NPI number?

The NPI number for Martin Moore is 1720745813. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Where is Martin Moore located?

Martin Moore practices at 103 S 19th Ave, Hattiesburg, MS 39401. The listed phone number is (601) 544-4641.

What is Martin 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 Martin Moore was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.