Audrea Moore's National Provider Identifier (NPI) Details
Audrea Moore, LMHC
NPI: 1124161153
Enumeration Date: 2007-02-15
Last updated: 2023-10-19
Sole Proprietor: NO
Status: active
Postal Address: 1506 CANNONADE CT, LUTZ, FL
Phone: 813-714-9792
Primary Practice Address: 1506 CANNONADE CT, LUTZ, FL
Practice's phone: 813-714-9792