Provider Demographics
NPI:1295590651
Name:MOORE, ALISON (MA, LPC/MHSP)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:MOORE
Suffix:
Gender:F
Credentials:MA, LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5025 HILLSBORO PIKE APT 5E
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-3770
Mailing Address - Country:US
Mailing Address - Phone:281-782-4211
Mailing Address - Fax:
Practice Address - Street 1:5025 HILLSBORO PIKE APT 5E
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-3770
Practice Address - Country:US
Practice Address - Phone:281-782-4211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5787101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health