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TEDDY MOORE CDCA.183837
NPI 1891421772
Counselor - Addiction (Substance Use Disorder) in Coal Grove, OH

Active since July 25, 2022
323 MARION PIKE STE 1, COAL GROVE, OH 45638(740) 237-4981(877) 325-2816 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2026, Jan 29, 2026, May 29, 2023 and 1 more (4 updates tracked since 2022).

About Teddy Moore Cdca.183837 NPPES

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

TEDDY MOORE CDCA.183837 (NPI 1891421772) is an individual addiction (substance use disorder) provider in Coal Grove, Ohio, licensed in Ohio (CDCA.183837) and active in the NPI registry since July 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1891421772
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTEDDY MOORECredential: CDCA.183837
Location Address323 MARION PIKE STE 1Coal Grove, OH 45638-2958
Mailing Address323 Marion Pike Ste 1Coal Grove, OH 45638-2958 · (740) 237-4981 · Fax (877) 325-2816
Phone(740) 237-4981
Fax(877) 325-2816
Sole ProprietorYes
Enumeration DateJuly 25, 2022
Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1891421772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.183837
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedPeer SpecialistTaxonomy 175T00000X · License APS.004849 (OH)
323 MARION PIKE STE 1, Coal Grove, OH 45638
Open in Google Maps ↗

Secondary Practice Locations 2

Location 135 Private Drive 1122 Ste AIronton, OH 45638-9152 · Phone (740) 237-4981 ext. 401
Location 21141 County Road 24Ironton, OH 45638-3186 · Phone (740) 237-4981 ext. 401

Other Identifiers 1

Medicaid0498102OH

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.

RANDY WAYNE CABLE II LISW, LICDC, PRS
Social Worker (Clinical)
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
KYLE STEVAN BLACK
Case Manager/Care Coordinator
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
COURTNEY GALLION
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
AMBER ARMS CDCA
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
EMILY CHRISTIAN CDCA.184182
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
ELIZABETH CLIFT PRS
Peer Specialist
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
ELIZABETH MAINS LICDC-CS.162074
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981
ALLZIA JOSEPH POLLOCK CDCA.177271
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 1
COAL GROVE, OH 45638
Lawrence County (740) 237-4981

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 Teddy Moore's NPI number?

The NPI number for Teddy Moore is 1891421772. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Teddy Moore located?

Teddy Moore practices at 323 Marion Pike Ste 1, Coal Grove, OH 45638. The listed phone number is (740) 237-4981.

What is Teddy Moore's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Teddy Moore was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.