MEDICARE: ALISON MOORE M.A., LPC/MHSP

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
1	101YM0800X	Mental Health Counselor	5787	TN

General Provider Information

NPI Number	:	1295590651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON MOORE M.A., LPC/MHSP

Provider Business Mailing Address
First Line	:	5025 HILLSBORO PIKE APT 5E
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3770
Country	:	US
Telephone Number	:	281-782-4211
Fax Number	:

Provider Business Practice Location Address
First Line	:	5025 HILLSBORO PIKE APT 5E
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-3770
Country	:	US
Telephone Number	:	281-782-4211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2024
Last Update Date	:	02/15/2024

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