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Active NPI 1285266858 Individual Practitioner Female Practitioner

Stefanie Moore , LPC

Counselor - Professional • Tyrone, GA

Professional Overview & Biography Verified Profile Summary

Stefanie Moore, LPC is a registered healthcare professional specializing in Counselor - Professional in Tyrone, GA. Practice services are available at 100 LLOYD AVE STE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Lloyd Ave Ste E

Tyrone, GA 302902157

Telephone 4702156101
Associated Practice Facility / Clinic
🏢 Sjbm Enterprises Llc Facility NPI 1427715747

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Tyrone, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
17 Specialists

Practicing in Tyrone, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-10
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC011376

Definition to come...

Secondary Practice Locations

15 Lagrange St Ste C

Newnan, GA 302632693

Phone: 7703282731

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Tyler Lenahan , LMT

Massage Therapist

NPI 1801657697

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 10, 2021

Registered at 100 LLOYD AVE STE E, TYRONE, GA 302902157 (Tel: 4702156101)

📍
Updated Practice Location May 06, 2020

Registered at 37 CALUMET PKWY STE 100, NEWNAN, GA 302636734 (Tel: 7703040072)

NPI Profile Active February 11, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2020

Registered at 100 LLOYD AVE STE E, TYRONE, GA 302902157 (Tel: 4702156101)

📍
Updated Business Mailing Address February 11, 2020

Registered at 147 HUNTERIAN PL, NEWNAN, GA 302655619 (Tel: 7703280490)

👤
Provider Name / Credentials Updated February 11, 2020

Recorded as STEFANIE MOORE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2020

Counselor (License #LPC011376 in GA)

🟢
Initial NPI Registration & Enumeration February 11, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285266858
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2020
Last Update: November 10, 2021
Sole Proprietor: No

Mailing Address

147 Hunterian Pl

Newnan, GA 302655619

Phone: 7703280490

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.