Individual provider · Type 1 NPI

Stacy Moore

Professional Counselor · San Antonio, TX

NPI number 1457285389 Active

Practice location

1777 NE Loop 410 Ste 825
San Antonio, TX 78217-5248

Call (214) 530-0021 Map

Fax (214) 530-0021

Mailing address

8150 N Central Expy Ste 1625
Dallas, TX 75206-1806

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X95637 (TX)

Professional Counselor: Definition to come...

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About NPI 1457285389

Stacy Moore's National Provider Identifier is 1457285389, issued on Jun 8, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Antonio, TX. The record was last updated on Jun 8, 2026.