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

Cecily Renee Moore, LPC-MHSP

Individual provider Mental Health Counselor · NPI 1962800102

Cecily Renee Moore, LPC-MHSP is a Mental Health Counselor in Jackson, Tennessee. Licensed in Florida and Tennessee. Registered with an NPI since 2014.

Licensed in
FL, TN
In the registry since
2014
Specialties on file
3

Practice location Address checks out

15 Bent Twig Dr
Jackson, TN 38305-6477
Phone: (731) 394-4555
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4522 (TN)
Mental Health Counselor Taxonomy 101YM0800X
Developmental Therapist Taxonomy 222Q00000X (FL)

Record details

NPI number1962800102
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-MHSP
Sole proprietorNo
NPI enumeratedDecember 19, 2014
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

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