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

Mrs. Angela Ellen Moore, LCMHCS

Individual provider Professional Counselor · NPI 1265533368

Mrs. Angela Ellen Moore, LCMHCS is a Mental Health Counselor in Fayetteville, North Carolina. Qualified in 2004, 22 years ago. Practices with Elu, LLC, a 5-clinician group. Licensed in North Carolina.

Years since qualifying
22
Licensed in
NC
In the registry since
2006
Specialties on file
5
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Practice location Address checks out

6781 Camden Rd
Fayetteville, NC 28306-7223
Phone: (877) 358-2998
Fax: (423) 405-6346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence S5187 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence S5187 (NC)
Counselor Taxonomy 101Y00000X · Licence S5187 (NC)
Social Worker Taxonomy 104100000X · Licence S5187 (NC)
Marriage & Family Therapist Taxonomy 106H00000X · Licence S5187 (NC)

Record details

NPI number1265533368
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHCS
Sole proprietorYes
NPI enumeratedSeptember 25, 2006
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Elu, Llc — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Fayetteville