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

Connie Michelle Tezeno-Moore

Individual provider Peer Specialist · NPI 1457218745

Connie Michelle Tezeno-Moore is a Peer Specialist in Lake Charles, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2026

Practice location Address checks out

2899 Sugarloaf Dr Trlr 181
Lake Charles, LA 70607-7543
Phone: (337) 746-7829
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence OBHPSS1215 (LA)

Record details

NPI number1457218745
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 7, 2026
Last updated in NPPESJanuary 7, 2026
Certification dateJanuary 7, 2026

Other providers in Lake Charles