Natasha Danielle Moore, LMFT
Individual provider Active NPI Marriage & Family Therapist · Bloomingdale, GA
NPI 1235830316 · NPPES record last updated Jun 24, 2026
Key facts
- NPI
- 1235830316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT002199 (GA)
- Practice address
- 441 Coconut Dr
Bloomingdale, GA 31302-8149 - Phone
- (478) 733-6700
- NPI assigned
- Mar 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250618002387 | GA | Practitioner - Marriage and Family Therapist | 7911418645 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT002199 | GA | Yes |
Addresses
Primary practice location
441 Coconut Dr
Bloomingdale, GA 31302-8149
Mailing address
PO Box 13055
Savannah, GA 31416-0055
Phone (478) 733-6700
Other providers in Bloomingdale, GA
- Alexa Johanson
- Lakeside Crisis Stabilization
- Lakeside Csu
- Lakeside Pain Center, P.C.
- Life Works Counseling
- Madison Nash
- Dinu Patel
- Elizabeth Ashley Pinkerton
- Carliss Posey
- Estella Reynolds
All providers in Bloomingdale, GA · Marriage & Family Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.