Healthcare Provider Details

I. General information

NPI: 1598060766
Provider Name (Legal Business Name): KATHERINE RENEE MOORE MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date: 11/19/2019
Reactivation Date: 12/11/2019

III. Provider practice location address

1112 S MILL ST
NEW CASTLE PA
16101-4629
US

IV. Provider business mailing address

63 PITT ST
SHARON PA
16146-2102
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-4564
  • Fax: 724-657-8563
Mailing address:
  • Phone: 724-658-4564
  • Fax: 724-657-8563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005768
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC005768
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: