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Michelle Ann Moore

Counselor in Garland, TX. Individual provider (NPI-1).

NPI number1164075875
StatusActive
Last updated in NPPESMay 17, 2023

Details

NPI
1164075875
Entity type
Individual (NPI-1)
Name
Mrs. Michelle Ann Moore
Sex
Female
Sole proprietor
No
Enumeration date
Jul 22, 2019
Certification date
May 17, 2023
Last updated
May 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

3256 Southern Dr Ste 461
Garland, TX 75043-1533

Phone 214-385-5445

Mailing address

1046 Shepard Ln
Lavon, TX 75166-1874

Phone 214-914-0944

Other practice locations

4010 Dupont Cir Ste 582
Louisville, KY 40207-4888

Phone 502-899-5411

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