Individual provider · Type 1 NPI

Samantha Tyler Moore, LCMHC

Mental Health Counselor · Raleigh, NC

NPI number 1013405356 Active

Practice location

3901 Barrett Dr Ste 100
Raleigh, NC 27609-6523

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X13926 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1013405356

Samantha Tyler Moore, LCMHC's National Provider Identifier is 1013405356, issued on Apr 23, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raleigh, NC. The record was last updated on Jul 27, 2026.