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

Tanisha Penn Moore, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1295018034

Tanisha Penn Moore, LADC is an Addiction (Substance Use Disorder) Counselor in Sand Springs, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

2727 S 137th West Ave
Sand Springs, OK 74063-5017
Phone: (918) 245-0231
Fax: (918) 241-5031
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 917 (OK)

Record details

NPI number1295018034
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADC
Sole proprietorNo
NPI enumeratedSeptember 27, 2011
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024

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