person
Heather Renee Moore, MA,LPC
Professional Counselor in Tulsa, Oklahoma
NPI 1649604885

Heather Renee Moore is a Professional Counselor based in Tulsa, OK and is specialized in Professional. Heather Renee Moore practices in Tulsa, OK and has the professional credentials of MA,LPC. The NPI Number for Heather Renee Moore is 1649604885 and holds a License No. 5751 (Oklahoma).

The current practice location address for Heather Renee Moore is 550 S Peoria Ave, Tulsa, OK and can be reached out via phone at 918-588-1900 and via fax at 918-382-1285.

Location: 550 S Peoria Ave, Tulsa, OK, 74120-3820
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Provider Profile Details
NPI Number
1649604885
Provider Name
Heather Renee Moore
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Female
Address
550 S Peoria Ave, Tulsa, OK, 74120-3820
Phone Number
918-588-1900
Fax Number
918-382-1285
Provider Enumeration Date
08/23/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13618765 01 OK CAQH
200506310-A 05 OK
institution
Provider Business Practice Location Address Details
Address
550 S Peoria Ave
City
State
Zip
74120-3820
Phone Number
918-588-1900
Fax Number
918-382-1285
person
Provider Business Mailing Address Details
Address
550 S Peoria Ave
City
State
Zip
74120-3820
Phone Number
918-588-1900
Fax Number
918-382-1285
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5751 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
5751 (Oklahoma)
Definition
Definition to come...
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