Individual provider · Type 1 NPI

Misty Dawn Moore

Peer Specialist · Beckley, WV

NPI number 1134060163 Active

Practice location

101 S Eisenhower Dr
Beckley, WV 25801-4929

Fax (304) 256-7111

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1134060163

Misty Dawn Moore's National Provider Identifier is 1134060163, issued on Apr 3, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Beckley, WV. The record was last updated on Apr 3, 2026.