Individual provider · Type 1 NPI

Mary Kay Moore, LPC-A

Mental Health Counselor · Austin, TX

NPI number 1104578830 Active

Practice location

1504 Wood Acre Ln
Austin, TX 78733-2157

Call (512) 636-0888 Map

Mailing address

1500 Village West Dr # 69
Austin, TX 78733-1977

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X87741 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1104578830

Mary Kay Moore, LPC-A's National Provider Identifier is 1104578830, issued on Jan 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Jan 24, 2022.