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

Tracey Moore

Individual provider Counselor · NPI 1184105090

Tracey Moore is a Counselor in South Bend, Indiana. Registered with an NPI since 2018.

In the registry since
2018
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Practice location Address checks out

415 E Madison St
South Bend, IN 46617-2322
Phone: (574) 533-1234
Fax: (574) 537-2652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1184105090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2018
Last updated in NPPESAugust 28, 2018

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