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

Individual provider Counselor · NPI 1124161153

Audrea Maurine Moore, LMHC is a Mental Health Counselor in Lutz, Florida. Qualified in 1995, 31 years ago. Practices with Alisa Grove PA, a 2-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
31
Licensed in
FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

1506 Cannonade Ct
Lutz, FL 33549-5822
Phone: (813) 714-9792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH8581 (FL)
Counselor Taxonomy 101Y00000X
Mental Health Counselor Taxonomy 101YM0800X (FL)

Record details

NPI number1124161153
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedFebruary 15, 2007
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Alisa Grove Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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