TRACEY MOORE


Address: 1227 Hwy 77, Suite 2, Marion, AR 72364
Phone: 8703944643

TRACEY MOORE (NPI# 1780850438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780850438
Entity Type Individual
Full Name TRACEY MOORE
Credential CASE MANAGER
Practice Address 1227 Hwy 77, Suite 2
Marion
AR 72364
Mailing Address 5537 Bleaux Ave
Springdale
AR 72762-0737
Practice Telephone 8703944643
Practice Fax Number 8703944646
Mailing Telephone 4798725580
Mailing Fax Number 4798725581
Enumeration Date 2008-05-02
Last Update Date 2011-07-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers

Other Providers TRACEY MOORE

NPI Name Taxonomy Address Enumeration
1306491311 Tracey D Moore Registered Nurse 1124 Cameron St, Ansley, NE 68814-0370 2019-08-06
1548371073 Tracey Lynn Moore Pharmacist 5684 Moonstone Loop Se, Salem, OR 97306-3517 2006-08-31
1164069860 Tracey Lee Moore Nurse Practitioner 2485 Pinellas Pl, The Villages, FL 32163-2703 2019-12-02
1184105090 Tracey Moore Counselor 415 E Madison St, South Bend, IN 46617-2322 2018-08-28
1730329962 Tracey Renee Moore Licensed Practical Nurse 830 Ezzard Charles Dr, Cincinnati, OH 45214 2009-02-27
1487783635 Tracey L. Moore Pharmacy Technician 1010 W Columbia St, Farmington, MO 63640-2902 2007-03-05
1144363854 Tracey Rae Moore Counselor 619 N Main St, Muskogee, OK 74401-4431 2007-02-14
1720188022 Tracey D. Moore Nurse Practitioner 214 E 23rd St, Cheyenne Regional Medical Center, Emergency Dept., Cheyenne, WY 82001-3748 2006-09-25

Office Location

Street Address 1227 HWY 77, SUITE 2
City MARION
State AR
Zip Code 72364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790190767 Shiquita Sanders Counselor 1227 Hwy 77, Suite 2, Marion, AR 72364-2373 2014-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356942320 Freda Cunningham Pharmacy 2100 Hwy 77, Marion, AR 72364 2020-11-05
1083235998 Lorenzo Soto Specialist/Technologist 444 Dogwood Cove, Marion, AR 72364 2020-05-01
1225663073 Martha Hall Technician 144 Morningside Drive, Marion, AR 72364 2020-03-11
1073159984 Angela Hamill Nurse Practitioner 924 Ar 77, Marion, AR 72364 2019-11-26
1346761251 Ashlyn Brook Williams Nurse Practitioner 136 Block Street, Marion, AR 72364 2017-06-30
1447622873 Walmart Inc. Durable Medical Equipment & Medical Supplies 2100 Highway 77, Marion, AR 72364 2015-10-26
1366828378 Hilary Hartwig Nurse Practitioner 1139 Hwy 77, Marion, AR 72364 2015-08-03
1730575077 Roadmaps To Recovery Counseling Services of Midsouth Community/Behavioral Health 162 W Military Road, Marion, AR 72364 2015-04-14
1144661141 Heather Chapman Physical Therapy Assistant 2860 I 55 Service Rd Ste C, Marion, AR 72364 2013-07-08
1679919351 Gladys Hampton Counselor 1227 Highway 77, Suite 2, Marion, AR 72364 2013-05-21
Find all providers in zip 72364

Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy 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.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972128627 Kelsie Ann Vaske Counselor 1199 Delaware Ave Ste 1074, Marion, OH 43302-6475 2020-06-09
1265963185 Willie Henry Ford Jr. Counselor 367 Front St, Marion, MA 02738-1538 2017-03-22
1003365552 Andrew James Maag Counselor 49 Ichabod Ln, Marion, MA 02738-1003 2016-09-26
1740606029 Anita Ritchey Counselor 1713 Marion Waldo Rd, Marion, OH 43302-7427 2014-03-11
1679919351 Gladys Hampton Counselor 1227 Highway 77, Suite 2, Marion, AR 72364 2013-05-21
1528305752 Martha Alison Graham Counselor 273 Country Club Rd, Marion, SC 29571-6375 2013-01-08
1669723037 R. Eric Ward Counselor 188 S Garden St, Marion, NC 28752-4053 2012-09-26
1619267945 Connie Opitz Allensworth Counselor 1227 Hwy 77, Marion, AR 72364 2011-04-07
1487856688 Gina Cale Counselor 101 S Washington St Ste 200, Marion, IN 46952-3868 2007-06-01
1033240486 Misty Renee Rollen Counselor 4011 S Western Ave, Marion, IN 46953-4904 2007-03-08
Find all providers in MARION

Competitor

Search similar providers

City MARION
Zip Code 72364

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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