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

Tachico Lanee Moore, SST

Individual provider Case Manager/Care Coordinator · NPI 1770823825

Tachico Lanee Moore, SST is a Case Manager/Care Coordinator in Detroit, Michigan. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

2925 Russell St
Detroit, MI 48207-4825
Phone: (313) 695-4560
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1770823825
Entity typeIndividual (Type 1)
GenderFemale
Credentials SST
Sole proprietorNo
NPI enumeratedFebruary 27, 2013
Last updated in NPPESFebruary 27, 2013

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