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NPI Code Detail

MEDICARE: TAMMY MOORE LMHC

MEDICARE: TAMMY MOORE LMHC
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 CounselorMH5196FL

General Provider Information

NPI Number : 1982690400
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY MOORE LMHC
Provider Business Mailing Address
First Line : 1221 W LAKEVIEW AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-1836
Country : US
Telephone Number : 850-469-3500
Fax Number : 850-595-1400
Provider Business Practice Location Address
First Line : 1221 W LAKEVIEW AVE
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-1836
Country : US
Telephone Number : 850-469-3500
Fax Number : 850-595-1400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 10/14/2025

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Directions to “ TAMMY MOORE LMHC” Practice Location

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