Healthcare Provider Details

I. General information

NPI: 1568612612
Provider Name (Legal Business Name): ANNALEIGHA R MORIARTY MPS, LPC, LMHC, CPCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2008
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6549 FREEPORT DR
SPRING HILL FL
34608-1208
US

IV. Provider business mailing address

6549 FREEPORT DR
SPRING HILL FL
34608-1208
US

V. Phone/Fax

Practice location:
  • Phone: 678-722-1031
  • Fax:
Mailing address:
  • Phone: 678-722-1031
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8573
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number005279
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: