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

Jeremy Moore, CMHT

Individual provider Mental Health Counselor · NPI 1588249502

Jeremy Moore, CMHT is a Mental Health Counselor in Hattiesburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021

Practice location Address checks out

110 Patton Ave
Hattiesburg, MS 39401-6155
Phone: (601) 582-1111
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4644 (MS)

Record details

NPI number1588249502
Entity typeIndividual (Type 1)
GenderMale
Credentials CMHT
Sole proprietorNo
NPI enumeratedMarch 11, 2021
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

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