Individual provider · Type 1 NPI

Deeanna Dean Moore

Mental Health Counselor · Lakeland, FL

NPI number 1689553067 Active

Practice location

1010 E Rose St
Lakeland, FL 33801-2016

Mailing address

2320 15th Ave W
Bradenton, FL 34205-3902

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689553067

Deeanna Dean Moore's National Provider Identifier is 1689553067, issued on Aug 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeland, FL. The record was last updated on Sep 5, 2025.