Individual provider · Type 1 NPI

Ingrid Simone Moore

Mental Health Counselor · Shreveport, LA

NPI number 1881366672 Active

Practice location

2924 Knight St Ste 434
Shreveport, LA 71105-2413

Call (318) 631-1122 Map

Mailing address

439 E Olive St
Shreveport, LA 71104-2739

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1881366672

Ingrid Simone Moore's National Provider Identifier is 1881366672, issued on Sep 30, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Sep 30, 2021.