Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa J Moore LLC

Organization Mental Health Counselor · NPI 1093561987

Lisa J Moore LLC is a Mental Health Counselor in Orange Park, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1409 Kingsley Ave Ste 9D
Orange Park, FL 32073-4580
Phone: (904) 571-8701
Fax: (904) 571-8701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1093561987
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elisabeth Tudor — Owner · (904) 269-2931
NPI enumeratedApril 30, 2024
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024
Mailing address1409 Kingsley Ave Ste 9d, Orange Park, FL 32073-4580

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