Healthcare Provider Details

I. General information

NPI: 1891570214
Provider Name (Legal Business Name): MOORE COUNSELING AND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2023
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12714 NE 8TH CT
VANCOUVER WA
98685-3054
US

IV. Provider business mailing address

2006 S MAIN ST STE 204
WAKE FOREST NC
27587-9391
US

V. Phone/Fax

Practice location:
  • Phone: 360-844-0462
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW MOORE
Title or Position: OWNER
Credential: LICSW
Phone: 360-844-0462