MR. KEYVEN KARDELL MOORE (NPI# 1740456805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740456805 |
| Entity Type | Individual |
| Full Name | MR. KEYVEN KARDELL MOORE |
| Credential | MA., MHC |
| Practice Address |
3520 Briarcliff Ct N Irving TX 75062-3205 |
| Practice Telephone | 2149121375 |
| Practice Fax Number | 2144284074 |
| Mailing Telephone | 2149121375 |
| Mailing Fax Number | 2144284074 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2011-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 17033 | TX | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
17033 | TX | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 17033 | TX | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 17033 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3520 BRIARCLIFF CT N |
| City | IRVING |
| State | TX |
| Zip Code | 75062-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029039 | Parham Dental Team, Pllc | Dentist | 3100 N O'connor Rd, # 100, Irving, TX 75062 | 2020-10-05 |
| 1649896119 | Evolve Medical Supply & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 4953 N. O'connor Rd., Suite 150, Irving, TX 75062 | 2020-06-22 |
| 1376198507 | Sanitas Medical Center of Texas Pa | Family Medicine | 3917 West Airport Freeway, Irving, TX 75062 | 2019-08-05 |
| 1295392306 | Rami Marwan El-bkaily | Optometrist | 4100 W Airport Fwy Unit 100, Irving, TX 75062 | 2019-05-23 |
| 1891352118 | Smazy Enterprise LLC | Optometrist | W. Airport Freeway, Ste 122, Irving, TX 75062 | 2019-05-22 |
| 1568029023 | Bcs Management LLC | Physical Therapist | 2642 N Belt Line Rd, Suite 2642, Irving, TX 75062 | 2019-05-21 |
| 1639633696 | In His Image Counseling Center, Pllc | Marriage & Family Therapist | 4425 W. Airport Fwy, Suite 244, Irving, TX 75062 | 2019-01-24 |
| 1316446701 | Thinh Le | Dentist | 4040 W. Northgate Dr., Irving, TX 75062 | 2018-02-12 |
| 1366972259 | Erick Marquez | Dentist | 118 E John W Carpenter Fwy, #170, Irving, TX 75062 | 2017-06-14 |
| 1740718584 | Cosmetic Companions LLC | Home Health | 320 Decker Dr Ste 100, Irving, TX 75062 | 2017-05-24 |
| Find all providers in zip 75062 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414539 | Ian James Mudge | Counselor | 1216 Fair Oaks Dr, Irving, TX 75060-3810 | 2020-03-28 |
| 1659924819 | Hope Connects Counseling, Pllc | Counselor | 8243 Ranchview Dr Apt 3073, Irving, TX 75063-4139 | 2019-07-17 |
| 1063978096 | Gabrielle Dean | Counselor | 310 S Story Rd # 100, Irving, TX 75060-2333 | 2019-02-14 |
| 1942754734 | Laura Alfonso Brown | Counselor | 1175 Kinwest Pkwy, Irving, TX 75063-3409 | 2016-08-09 |
| 1043670193 | Timberly Lewis | Counselor | 621 E. 2nd Street, Irving, TX 75060 | 2016-03-02 |
| 1992161269 | Tamara Mosley | Counselor | 1000 Lake Carolyn Pkwy Apt 4208, Irving, TX 75039-3935 | 2016-01-02 |
| 1851769814 | Zakia Inyang | Counselor | 1175 Kinwest Parkway, 100, Irving, TX 75063 | 2015-09-08 |
| 1669855003 | John Erik Ege | Counselor | 1404 Weathered St, Irving, TX 75062-6623 | 2015-07-02 |
| 1710227467 | Lauren Patricia Parrish | Counselor | 4851 Regent Blvd Ste 200, Irving, TX 75063-2440 | 2013-02-18 |
| 1790029841 | Paul Dean Allen | Counselor | 5525 N. Macarthur Blvd, Suite 800, Mhn Government Services, Irving, TX 75038 | 2012-11-15 |
| Find all providers in IRVING | ||||
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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.