MEDICARE: TAMARA NICOLE MOORE PLPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2023007047	MO

General Provider Information

NPI Number	:	1376241976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMARA NICOLE MOORE PLPC

Provider Business Mailing Address
First Line	:	5426 FOREST CREEK DR APT F
Second Line	:
City	:	HAZELWOOD
State	:	MO
Zip	:	63042-3744
Country	:	US
Telephone Number	:	314-323-7811
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CENTRE ON THE LK
Second Line	:
City	:	LAKE ST LOUIS
State	:	MO
Zip	:	63367-1369
Country	:	US
Telephone Number	:	314-323-7811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2023
Last Update Date	:	03/04/2023

Similar Medicare Providers

1336463827 — MRS. CASEY O'DONNELL JONES LPC
Practice Location Address:

112 CENTRE ON THE LK
LAKE SAINT LOUIS, MO
63367-1369

Practice Phone: 636-544-7370
Practice Fax:

1053609297 — JOHNSONS ENTERPRISES INC.
Practice Location Address:

118 CENTRE ON THE LK
LAKE ST LOUIS, MO
63367-1369

Practice Phone: 636-695-3140
Practice Fax: 636-625-3611

1235995002 — DR. JOSHUA JUSTIN COOK PH.D., LPC
Practice Location Address:

100 CENTRE ON THE LK
LAKE SAINT LOUIS, MO
63367-1369

Practice Phone: 636-284-9205
Practice Fax:

1184445892 — AMY RATICAN LPC
Practice Location Address:

112 CENTRE ON THE LK
LAKE ST LOUIS, MO
63367-1369

Practice Phone: 636-336-6798
Practice Fax:

1003882150 — DR. KAJAL DASGUPTA M.D.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

1881646115 — MS. MELISSA RYAN STRAUSS P.A.
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-2424
Practice Fax:

Directions to “ TAMARA NICOLE MOORE PLPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.