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NPI Code Detail

MEDICARE: LARON MOORE LPC

MEDICARE: LARON MOORE LPC
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 CounselorLPC05388KS

General Provider Information

NPI Number : 1205766029
Entity Type Code : Individual
Provider Name (Legal Business Name) : LARON MOORE LPC
Provider Business Mailing Address
First Line : 7019 CHAPARRAL ST
Second Line :
City : VALLEY CENTER
State : KS
Zip : 67147-8402
Country : US
Telephone Number : 417-631-5334
Fax Number :
Provider Business Practice Location Address
First Line : 6525 E MAINSGATE RD
Second Line :
City : WICHITA
State : KS
Zip : 67226-1062
Country : US
Telephone Number : 316-461-7923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2026
Last Update Date : 05/22/2026

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Directions to “ LARON MOORE LPC” Practice Location

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