Individual provider · Type 1 NPI
Kelly Moore
Counselor · La Vergne, TN
NPI number
1194308650
Active
Practice location
715 Almondwood Pl
La Vergne, TN 37086-3810
Mailing address
PO Box 65
La Vergne, TN 37086-0065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
About NPI 1194308650
Kelly Moore's National Provider Identifier is 1194308650, issued on May 3, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in La Vergne, TN. The record was last updated on May 3, 2021.