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

Mr. Michael T Moore, CASAC-T

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104615970

Mr. Michael T Moore, CASAC-T is an Addiction (Substance Use Disorder) Counselor in Bronx, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

830 Forest Ave Rm 119
Bronx, NY 10456-7802
Phone: (718) 742-5684
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1104615970
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC-T
Sole proprietorNo
NPI enumeratedMay 6, 2025
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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