Individual provider · Type 1 NPI

Samantha Moore

Peer Specialist · Baton Rouge, LA

NPI number 1467989103 Active

Practice location

2751 Wooddale Blvd
Baton Rouge, LA 70805-7567

Call (225) 460-0509 Map

Mailing address

PO Box 66558
Baton Rouge, LA 70896-6558

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor 101YM0800XNone listed
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 1467989103

Samantha Moore's National Provider Identifier is 1467989103, issued on May 12, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Sep 15, 2025.