Organization
KAILO'S MENTAL RETREAT
Active
Other names
Kailo's Mental Retreat, Kailo's Mental Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MICHELLE MOORE PMHNP-C (MSN, PMHNP-C)
(252) 414-3318
Entity
Organization
Contact information
Practice address
748 ADDINGTON DR, WINTERVILLE, NC 28590-7102
(252) 414-3318
(252) 677-6551
Mailing address
748 ADDINGTON DR, WINTERVILLE, NC 28590-7102
(252) 414-3318
(252) 677-6551
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
02/20/2026
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