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

Phaedra Moore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1831970011

Phaedra Moore is an Addiction (Substance Use Disorder) Counselor in Boston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

725 Albany St
Boston, MA 02118-3549
Phone: (617) 414-2283
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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 number1831970011
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 12, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023

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