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KATELYN MOORE LAC
NPI 1770211369
Counselor - Mental Health in Sheridan, AR

Active since August 11, 2022
201 S ROSE ST, SHERIDAN, AR 72150(870) 917-2171(870) 917-2161 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, Aug 11, 2023, Aug 11, 2022 (3 updates tracked since 2022).

About Katelyn Moore Lac NPPES

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

KATELYN MOORE LAC (NPI 1770211369) is an individual mental health provider in Sheridan, Arkansas, licensed in Arkansas (2308009) and active in the NPI registry since August 2022. She maintains a secondary practice location in Hensley.

NPPES Registry Identity

NPI1770211369
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATELYN MOORECredential: LAC
Location Address201 S ROSE STSheridan, AR 72150-2451
Mailing Address201 S Rose StSheridan, AR 72150-2451 · (870) 917-2171 · Fax (870) 917-2161
Phone(870) 917-2171
Fax(870) 917-2161
Sole ProprietorNo
Enumeration DateAugust 11, 2022
Last NPPES UpdateJune 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1770211369 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 AR · 2308009
201 S ROSE ST, Sheridan, AR 72150
Open in Google Maps ↗

Secondary Practice Location 1

Location 112120 Duck Creek DrHensley, AR 72065-5706 · Phone (501) 765-0211 · Fax (501) 765-0211

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.

BAILIE PRINCE LAC
Counselor (Mental Health)
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
MICHAEL RYAN REED QBHP
Case Manager/Care Coordinator
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
ASHLEY NICOLE PIERCE LMSW
Social Worker
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
ANNA MORGAN QBHP
Case Manager/Care Coordinator
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
LAUREN MORRIS MHPP
Case Manager/Care Coordinator
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
KAMILLAH KARRIEM QBHP
Social Worker
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
DAVID BAGLEY MD
Psychiatry & Neurology (Psychiatry)
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171
KATHERYN JAMES MHPP
Case Manager/Care Coordinator
201 S ROSE ST
SHERIDAN, AR 72150
Grant County (870) 917-2171

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 Katelyn Moore's NPI number?

The NPI number for Katelyn Moore is 1770211369. It was assigned to this individual provider in the NPPES registry on August 11, 2022.

Where is Katelyn Moore located?

Katelyn Moore practices at 201 S Rose St, Sheridan, AR 72150. The listed phone number is (870) 917-2171.

What is Katelyn 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 Katelyn Moore was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.