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

Tanzania Mala Moore

Individual provider Mental Health Counselor · NPI 1447745567

Tanzania Mala Moore is a Mental Health Counselor in Vicksburg, Mississippi. Licensed in Mississippi. Registered with an NPI since 2018.

Licensed in
MS
In the registry since
2018
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Practice location Address checks out

3530 Manor Dr Ste 5A
Vicksburg, MS 39180-5625
Phone: (601) 738-5260
Fax: (601) 738-5361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (MS)

Record details

NPI number1447745567
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2018
Last updated in NPPESJune 30, 2018
Mailing address234 Baugh St, Pearl, MS 39208-4103

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