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

Mary Kay Moore, LPC-A

Individual provider Mental Health Counselor · NPI 1104578830

Mary Kay Moore, LPC-A is a Mental Health Counselor in Austin, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022

Practice location Address checks out

1504 Wood Acre Ln
Austin, TX 78733-2157
Phone: (512) 636-0888
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 87741 (TX)

Record details

NPI number1104578830
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-A
Sole proprietorNo
NPI enumeratedJanuary 24, 2022
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022

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