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

Tracy J Moore, LCAS-A

Individual provider Mental Health Counselor · NPI 1558614677

Tracy J Moore, LCAS-A is a Mental Health Counselor in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
Specialties on file
6
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5500 Executive Center Dr
Charlotte, NC 28212-8856
Phone: (704) 537-5760
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCAS-15519 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence LCAS-15519 (NC)
Case Manager/Care Coordinator Taxonomy 171M00000X · Licence LCAS-15519 (NC)
Community Health Worker Taxonomy 172V00000X · Licence LCAS-15519 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P007403 (NC)
Counselor Taxonomy 101Y00000X · Licence LCAS-15519 (NC)

Record details

NPI number1558614677
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS-A
Sole proprietorYes
NPI enumeratedOctober 26, 2012
Last updated in NPPESSeptember 28, 2016

Other providers in Charlotte