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NPI Code Detail

MEDICARE: TABITHA MOORE LCMHCA, NCC

MEDICARE: TABITHA MOORE LCMHCA, NCC
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
1101YM0800XMental Health CounselorA22727NC

General Provider Information

NPI Number : 1922956515
Entity Type Code : Individual
Provider Name (Legal Business Name) : TABITHA MOORE LCMHCA, NCC
Provider Business Mailing Address
First Line : 594 LONNIE CT
Second Line :
City : KERNERSVILLE
State : NC
Zip : 27284-8477
Country : US
Telephone Number : 336-332-2277
Fax Number :
Provider Business Practice Location Address
First Line : 2121 EASTCHESTER DR STE 105
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-1535
Country : US
Telephone Number : 336-332-2277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ TABITHA MOORE LCMHCA, NCC” Practice Location

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