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

Stevie Nicole Moore, PEERSUPPORT

Individual provider Peer Specialist · NPI 1922788520

Stevie Nicole Moore, PEERSUPPORT is a Peer Specialist in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023

Practice location Address checks out

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone: (937) 387-6395
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.004087 (OH)

Record details

NPI number1922788520
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEERSUPPORT
Sole proprietorYes
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

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