Individual provider · Type 1 NPI
Kalisa Moore
Mental Health Counselor · New York, NY
NPI number
1295478717
Active
Practice location
1199 Park Ave
New York, NY 10128-1711
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | P108510 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1295478717
Kalisa Moore's National Provider Identifier is 1295478717, issued on Apr 14, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Jun 11, 2025.