Organization · Type 2 NPI

Timothy M Moore LLC

Professional Counselor · Sisters, OR

NPI number 1255217824 Active

Practice location

704 W Hood Ave
Sisters, OR 97759-1529

Fax (541) 280-5210

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed
Adult Mental Health Clinic/Center	261QM0850X	None listed

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NPI record

NPI: 1255217824
Entity type: Organization (Type 2)
Issued: Aug 11, 2025
Last updated: Aug 15, 2025
Status: Active

Other names

<unavail>
Aspen Counseling · doing business as
Aspen Counseling · doing business as

Authorized official

Mr. Timothy M Moore, LPC
Clinical Director/owner
(541) 280-5210

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About NPI 1255217824

Timothy M Moore LLC's National Provider Identifier is 1255217824, issued on Aug 11, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sisters, OR. The record was last updated on Aug 15, 2025.