Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Roslyn Moore

Individual provider Child Mental Illness Respite Care · NPI 1588731970

Roslyn Moore is registered under Child Mental Illness Respite Care in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006

Practice location Address checks out

3132 W Alta Vista Rd
Phoenix, AZ 85041-5209 Not confirmed with CMS for 19 years — call before visiting
Phone: (623) 873-0204
Show map & directions

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

Specialties & licences

Child Mental Illness Respite Care (primary) Taxonomy 385HR2055X · Licence 8559 (AZ)

Record details

NPI number1588731970
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 8, 2007

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