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

Queen Shanice Moore

Individual provider Mental Health Counselor · NPI 1780045237

Queen Shanice Moore is a Mental Health Counselor in Fitchburg, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

8 Summer St
Fitchburg, MA 01420-5717
Phone: (774) 633-9009
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 · Licence 18677 (MA)
Mental Health Counselor Taxonomy 101YM0800X · Licence LMHC10001663 (MA)

Record details

NPI number1780045237
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 11, 2016
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024
Mailing address49 Simonds St Apt 1, Fitchburg, MA 01420-2460

Other providers in Fitchburg