Individual provider · Type 1 NPI

Michael Elias Moore

Peer Specialist · Pauls Valley, OK

NPI number 1265376099 Active

Practice location

100 Valley Dr
Pauls Valley, OK 73075-6613

Call (405) 242-1618 Map

Mailing address

515 E Grant Ave
Pauls Valley, OK 73075-2636

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 1265376099

Michael Elias Moore's National Provider Identifier is 1265376099, issued on Apr 14, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Pauls Valley, OK. The record was last updated on Apr 14, 2026.