Search › North Carolina › 1041C0700X
Matthew Moore, LICSW, LCSW, LISW-CP
NPI 1558829234 · on the registry since 2019
Practice
- Address
- 2006 S Main St Ste 204
Wake Forest, NC 27587 - Phone
- (360) 844-0462
- Organisation at this address
- Bloom Joy Llc
Carolina Massage Therapy
Key Change Counseling, Pllc
Renewing Paths Counseling Services, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041C0700X
1041C0700X - Licence states on file
- WA, UT, NC, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina