Timothy M Moore LLC

NPI #1255217824 in Sisters, Oregon

Provider Information

NPI Number: 1255217824
Entity Type: Organization
Organization Name: Timothy M Moore LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Aug 11, 2025
Last Updated: Aug 15, 2025

Practice Location

Address: 704 W HOOD AVE
City: Sisters
State: Oregon
ZIP Code: 97759-1529
Phone: (541) 280-5210

Authorized Official

Name: MR. TIMOTHY M MOORE, LPC
Title: CLINICAL DIRECTOR/OWNER
Phone: (541) 280-5210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Counselor - Professional — Professional	101YP2500X	Primary

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