Monique Moore LMHC, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MONIQUE MOORE LMHC, LLC

Practice address

86155 Courtney Isles Way
Yulee, FL 32097-3526

Phone

(904) 687-7731

Fax

(904) 875-5088

NPI assigned

Jun 24, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Monique S MooreNPI 1063198018

Title

Manager

Phone

(904) 468-7731

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monique Samantha Moore

  • Mental Health Counselor
  • Yulee, FL
  • NPI 1063198018
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1255175238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320410655",
            "telephone_number": "904-687-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86155 COURTNEY ISLES WAY",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973526",
            "telephone_number": "904-687-7731",
            "fax_number": "904-875-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONIQUE MOORE LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-468-7731"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma M Mims
• Ivey Annette Mitchell
• Modern Therapies LLC
• Moja Functional Health, LLC
• Luke Moja, DC
• Monique Samantha Moore
• Hannah Morris, CF-SLP
• Susan Vereeda Moughton, APRN
• Aimee Lyn Mozo
• Jennifer Cason Mullis

• Mental Health Clinic/Center (Including Community Mental Health Center) in Yulee, FL
• Providers in Yulee, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.