Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theresa Lynn Moore, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1316561202

Theresa Lynn Moore, PMHNP-BC is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2018, 8 years ago. Practices with Mood Treatment Center, PLLC, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California and North Carolina.

Years since qualifying
8
Licensed in
CA, NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1615 Polo Rd
Winston Salem, NC 27106-3831
Phone: (336) 722-7266
Fax: (336) 201-0538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 104 Cambridge Plaza Dr, Winston Salem, NC 27104-3556 — (336) 722-7266

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5022767 (NC)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence NP95019703 (CA)

Record details

NPI number1316561202
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 5, 2020
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mood Treatment Center, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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