Individual
LAQUISHA DENISE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPCC
Contact information
Practice address
2900 W BROADWAY STE 16, LOUISVILLE, KY 40211-1294
(502) 315-9969
Mailing address
2900 W BROADWAY STE 16, LOUISVILLE, KY 40211-1294
(502) 315-9969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
266373
KY
101YP2500X
Professional Counselor
Primary
266373
KY
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/08/2018
Last updated
05/12/2025
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