Individual provider · Type 1 NPI

Tanay Moore

Mental Health Counselor · Louisville, KY

NPI number 1790309680 Active

Practice location

5411 Catalina Ave
Louisville, KY 40272-3401

Call (502) 287-2858 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X245051 (KY)

Mental Health Counselor: Definition to come...

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About NPI 1790309680

Tanay Moore's National Provider Identifier is 1790309680, issued on Jun 5, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Louisville, KY. The record was last updated on Jun 5, 2020.