Individual provider · Type 1 NPI
Carmella I. Moore, LMHC
Mental Health Counselor · Port St. Lucie, FL
NPI number
1194122473
Active
Practice location
2900 SE Treasure Island Rd
Port St. Lucie, FL 34952-5773
Fax (772) 408-9619
Other practice locations
- 1140 NE Wright Ave, Jensen Beach, FL 34957-6249 · (772) 208-9447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | MH17480 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1194122473
Carmella I. Moore, LMHC's National Provider Identifier is 1194122473, issued on Dec 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port St. Lucie, FL. The record was last updated on May 30, 2025.