MS. AUDREY DURAND MOORE LPC NPI 1467412403

NPI Information

NPI: 1467412403
Provider Name: MS. AUDREY DURAND MOORE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
703 THIMBLE SHOALS BLVD
SUITE A-3
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 873-2307
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MS. Audrey Durand Moore, LPC is a professional counselor in Newport News, VA. MS. Audrey Durand Moore, LPC NPI is 1467412403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

703 THIMBLE SHOALS BLVD
SUITE A-3
NEWPORT NEWS, VA
ZIP 23606-576
Phone: (757) 873-2307
Fax: (757) 873-3401

The enumeration date for this NPI number is 3/24/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	07010022742	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0101102189	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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