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

Audrey Elaine Moore, LAC

Individual provider Mental Health Counselor · NPI 1558043687

Audrey Elaine Moore, LAC is a Mental Health Counselor in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

702 W Hillside Ave
Prescott, AZ 86301-1913
Phone: (855) 746-3633
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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 22964 (AZ)

Record details

NPI number1558043687
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorNo
NPI enumeratedAugust 7, 2023
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

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