The Moore Experience

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE MOORE EXPERIENCE

Practice address

4500 Hugh Howell Rd Ste 620D
Tucker, GA 30084-4720

Phone

(678) 522-2472

Fax

(470) 777-2790

NPI assigned

Sep 29, 2018

Organization subpart

No

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

Authorized official

Name

Juanese M Moore, LPCNPI 1770067498

Title

Ceo

Phone

(770) 609-7288

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Juanese Moore, LPC

  • Mental Health Counselor
  • Tucker, GA
  • NPI 1770067498
  NPD Authorized official

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

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1649755281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 ROCKBRIDGE RD NW STE 172-350",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300478225",
            "telephone_number": "678-522-2472",
            "fax_number": "470-777-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 HUGH HOWELL RD STE 620D",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844720",
            "telephone_number": "678-522-2472",
            "fax_number": "470-777-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MOORE EXPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-29",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JUANESE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-609-7288",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Home Medical Equipment & Supply Store
• The Home Medical Store, LLC
• The Kroger Co
• The Kroger Co
• The Link Institute, LLC
• The Place at Tucker, LLC
• The Promptcare Companies, Inc.
• Spandana Thenkabail, MD
• Therapy Goals LLC
• Myia C Thomas-Moore, PHARM.D.

• Community/Behavioral Health Agency in Tucker, GA
• Providers in Tucker, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.