MRS. MOLLY MOORE (NPI# 1275003410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275003410 |
| Entity Type | Individual |
| Full Name | MRS. MOLLY MOORE |
| Credential | LPC |
| Practice Address |
7925 S Broadway Ave Ste 820 Tyler TX 75703-5255 |
| Practice Telephone | 9035618955 |
| Practice Fax Number | 9035618895 |
| Mailing Telephone | 9035618955 |
| Mailing Fax Number | 9035618895 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083853428 | Molly Elizabeth Moore | Surgery | 205 Hammocks Dr, Orchard Park, NY 14127-1683 | 2009-02-09 |
| 1760966774 | Molly Michelle Moore | Nurse Practitioner | 51 W 3rd St Ste 500, Tempe, AZ 85281-2871 | 2018-09-17 |
| 1659776227 | Molly Moore | Physical Therapy Assistant | 276 Green Ave Ext, Lewistown, PA 17044-9707 | 2014-10-25 |
| 1174780902 | Molly Moore | Pediatrics | 111 Colchester Ave, Burlington, VT 05401-1473 | 2008-05-20 |
| 1689747438 | Molly Moore | Speech-Language Pathologist | 976 Redstone Rd, Dacula, GA 30019-7415 | 2006-11-17 |
| Street Address |
7925 S BROADWAY AVE STE 820 |
| City | TYLER |
| State | TX |
| Zip Code | 75703-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801228218 | Evelyn Sarah Dillman | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2013-08-07 |
| 1336767557 | Erika Sadler | Student in an Organized Health Care Education/Training Program | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2020-07-14 |
| 1730711813 | Chantel Marie Buccat Longino | Social Worker | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2020-02-06 |
| 1285277673 | Amy Waters | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-10-18 |
| 1336793546 | Lonna Stewart | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-07-25 |
| 1730645185 | Nathaniel Winfield Briggs | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-02-11 |
| 1790249860 | Kami Jackson | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-01-23 |
| 1790259000 | Chris Legg | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2019-01-20 |
| 1255801700 | Tyler Sullins | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2018-11-27 |
| 1124545967 | Evelyn Dillman Counseling | Counselor | 7925 S Broadway Ave Ste 820, Tyler, TX 75703-5255 | 2017-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
| 1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
| 1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
| 1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
| 1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
| 1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
| 1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
| 1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
| 1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
| 1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
| Find all providers in zip 75703 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760956130 | Keely Burks | Counselor | 1698 W Grande Blvd, Tyler, TX 75703-4426 | 2019-01-17 |
| 1396109294 | Amy Furqueron | Counselor | 2003 Rickety Ln Ste E, Tyler, TX 75703-1704 | 2016-04-07 |
| 1366809287 | Anita Smith X | Counselor | 1817 Wsw Loop 323, Tyler, TX 75701-8426 | 2016-01-22 |
| 1053734129 | Raymond Perales Martinez | Counselor | 3919 Belle Mere St, Tyler, TX 75701-6704 | 2014-01-27 |
| 1942571153 | Crystal Duane Johnson | Counselor | 401 E Front Street, Suite 139, Tyler, TX 75701-1608 | 2012-01-19 |
| 1417565110 | Rachel Renee Spurgeon | Counselor | 120 W 5th St Ste 105, Tyler, TX 75701-4053 | 2020-07-20 |
| 1962020412 | Denise N Hazen | Counselor | 3800 Paluxy Dr Ste 240, Tyler, TX 75703-1667 | 2020-07-10 |
| 1801385653 | Margaret Elaine Eckhardt | Counselor | 218 N College Ave, Tyler, TX 75702-5715 | 2018-05-08 |
| 1609267962 | Janus Children Services Inc | Counselor | 3800 Paluxy Dr, Suite 150, Tyler, TX 75703-1629 | 2015-02-09 |
| 1538487541 | Amy Michelle Wilson | Counselor | 409 W Locust St, Tyler, TX 75702-5644 | 2010-05-14 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.