Individual provider · Type 1 NPI

Theola Moore, MS, MHC

Mental Health Counselor · Fort Lauderdale, FL

NPI number 1508629254 Active

Practice location

2700 NW 62nd St
Fort Lauderdale, FL 33309-1744

Fax (754) 289-4250

Mailing address

2700 NW 62nd St Ste B100
Fort Lauderdale, FL 33309-1718

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508629254

Theola Moore, MS, MHC's National Provider Identifier is 1508629254, issued on Feb 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Feb 5, 2024.