MEDICARE: MOORE PEACE COUNSELING & WELLNESS PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1770423493
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOORE PEACE COUNSELING & WELLNESS PLLC

Provider Business Mailing Address
First Line	:	207 W MILLBROOK RD STE 210
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-4490
Country	:	US
Telephone Number	:	984-302-6412
Fax Number	:

Provider Business Practice Location Address
First Line	:	5516 GRAND TRAVERSE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27604-5401
Country	:	US
Telephone Number	:	984-302-6412
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	LESHANA MOORE
Credential	:	LCSWA
Telephone Number	:	984-302-6412

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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