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

Teddy Moore, CDCA183837

Individual provider Mental Health Counselor · NPI 1891421772

Teddy Moore, CDCA183837 is a Mental Health Counselor in Coal Grove, Ohio. Practices as a sole proprietor and works from 3 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2022
Specialties on file
4
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Practice location Address checks out

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone: (740) 237-4981
Fax: (877) 325-2816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1141 County Road 24, Ironton, OH 45638-3186 — (740) 237-4981
  • 35 Private Drive 1122 Ste A, Ironton, OH 45638-9152 — (740) 237-4981

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.183837 (OH)
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X
Peer Specialist Taxonomy 175T00000X · Licence APS.004849 (OH)

Record details

NPI number1891421772
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA183837
Sole proprietorYes
NPI enumeratedJuly 25, 2022
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address323 Marion Pike Ste 1, Coal Grove, OH 45638-2958

Other providers in Coal Grove