Individual provider · Type 1 NPI

Roy Moore

Peer Specialist · Princeton, WV

NPI number 1194637017 Active

Practice location

106 Thorn St
Princeton, WV 24740-3560

Call (304) 314-7501 Map

Fax (304) 936-6156

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 1194637017

Roy Moore's National Provider Identifier is 1194637017, issued on Sep 17, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Princeton, WV. The record was last updated on Sep 17, 2026.