NPI

Trista Shari Moffett

NPI 1871074146

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
LCSW
Type
Individual
Enumeration date
2018-08-24
Last updated
2022-05-05

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Specialties

Licenses

License FL
SW15112

Location

Practice location
502 E 2nd Ave
City
Crestview FL
Postal code
32536-2514
Phone
(850) 778-9110
Fax
(850) 399-9663

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Mental Health Counselors in Crestview, FL. 51 with this primary taxonomy in the public file.

Other NPIs in Crestview, FL. 1,132 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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