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

Evan Moore

Individual provider Mental Health Counselor · NPI 1407734668

Evan Moore is a Mental Health Counselor in Peoria, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

6615 N Big Hollow Rd
Peoria, IL 61615-2450
Phone: (309) 692-6622
Fax: (309) 692-6952
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 number1407734668
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

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