Individual
TYLER FOREST MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
480 N CAMPUS WALK, FAYETTEVILLE, AR 72701-4006
(479) 575-4258
Mailing address
378 N WYANDOTTE ST, FARMINGTON, AR 72730-6012
(281) 217-8631
(281) 217-8631
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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