OrganizationActive
Lisa J Moore LLC
NPI 1093561987 · Mental Health Counselor · Orange Park, FL
Provider details
- NPI number
- 1093561987
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Elisabeth Tudor, Owner(904) 269-2931
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1409 Kingsley Ave Ste 9d
Orange Park, FL 32073-4580
Phone: (904) 571-8701
Fax: (904) 571-8701
Street-level locationGet directions
Mailing address
1409 Kingsley Ave Ste 9d
Orange Park, FL 32073-4580
Registry dates
- Enumerated
- 2024-04-30
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.