Individual
MR. AUSTIN LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P-LPC
Contact information
Practice address
3600 BLUECUTT RD STE 201, COLUMBUS, MS 39705-1397
(662) 329-3973
(662) 329-9056
Mailing address
3600 BLUECUTT RD STE 103, COLUMBUS, MS 39705-1397
(662) 570-4770
(662) 570-4724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-1472
MS
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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