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Audrea Maurine Moore, LMHC
Mental Health Counselor in Lutz, Florida
NPI 1124161153

Audrea Maurine Moore is a Mental Health Counselor based in Lutz, FL and is specialized in Mental Health. Audrea Maurine Moore practices in Lutz, FL and has the professional credentials of LMHC. The NPI Number for Audrea Maurine Moore is 1124161153 and holds a License No. (Florida).

The current practice location address for Audrea Maurine Moore is 1506 Cannonade Ct, Lutz, FL and can be reached out via phone at 813-714-9792. You can also correspond with Audrea Maurine Moore through the mailing address at 1506 CANNONADE CT, LUTZ, FL - 33549-5822 (mailing address contact number: 813-714-9792).

Location: 1506 Cannonade Ct, Lutz, FL, 33549-5822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124161153
Provider Name
Audrea Maurine Moore
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
1506 Cannonade Ct, Lutz, FL, 33549-5822
Phone Number
813-714-9792
Fax Number
Provider Enumeration Date
02/15/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
765872900 05 FL
institution
Provider Business Practice Location Address Details
Address
1506 Cannonade Ct
City
Lutz
State
Florida
Zip
33549-5822
Phone Number
813-714-9792
Fax Number
person
Provider Business Mailing Address Details
Address
1506 Cannonade Ct
City
Lutz
State
Florida
Zip
33549-5822
Phone Number
813-714-9792
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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