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NPI Code Detail

MEDICARE: MISS LAURA MOORE LPCC

MEDICARE: MISS LAURA MOORE LPCC
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
1101YP2500XProfessional Counselor103005KY

General Provider Information

NPI Number : 1053731711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LAURA MOORE LPCC
Provider Business Mailing Address
First Line : 10100 ELIDA RD
Second Line :
City : DELPHOS
State : OH
Zip : 45833-9058
Country : US
Telephone Number : 419-695-8010
Fax Number : 419-932-6232
Provider Business Practice Location Address
First Line : 401 LEWIS HARGETT CIR STE 220
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-3565
Country : US
Telephone Number : 859-971-2585
Fax Number : 859-971-7594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2014
Last Update Date : 10/10/2025

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Directions to “ MISS LAURA MOORE LPCC” Practice Location

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